# S S KURELLA MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831365881
- **Authorized official:** MRS. UMA KURELLA (OFFICE MANAGER)
- **Authorized official phone:** (618) 498-9502

## Contact information

- **Practice address:** 1011 EDGEWOOD AVE, JERSEYVILLE, IL 62052-1177
- **Practice address phone:** (618) 498-4606
- **Mailing address:** 1011 EDGEWOOD AVE, JERSEYVILLE, IL 62052-1177
- **Mailing address phone:** (618) 498-4606

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | IL | Yes |

## Other

- **Enumeration date:** 04/30/2008
- **Last updated:** 07/26/2012