Organization
ILONA JUREK MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE TURNER (CREDENTIALING COORDINATOR)
(440) 988-1009
Entity
Organization
Contact information
Practice address
3600 KOLBE RD, STE 205, LORAIN, OH 44053-1654
(440) 960-5622
(440) 960-1690
Mailing address
PO BOX 1303, AMHERST, OH 44001-7303
(440) 244-0010
(440) 244-0726
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35062523
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0236248
—
OH
05
—
0871669
—
OH
Enumeration date
10/31/2007
Last updated
12/14/2009
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