Individual
DR. MAURY K. TOPOLOSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 W UNIVERSITY AVE, CHAMPAIGN, IL 61820-3909
(217) 366-1212
Mailing address
101 W UNIVERSITY AVE, CHAMPAIGN, IL 61820-3909
(217) 366-1212
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
036-070243
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110056003
RAILROAD MEDICARE
IL
05
—
1396753679 1
—
IL
01
—
279500
MEDICARE GROUP
IL
Enumeration date
08/03/2006
Last updated
10/02/2008
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