Individual
DR. KORNELIA G. JUERGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD, ABFP
Contact information
Practice address
2559 E 2450TH RD, MARSEILLES, IL 61341-9749
(815) 795-5591
(815) 795-5591
Mailing address
2559 E 2450TH RD, PO BOX 249, MARSEILLES, IL 61341-9749
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
036104391
IL
207Q00000X
Family Medicine Physician
Primary
036-104391
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036104391
—
IL
01
—
137710004
MEDICARE IND #
MO
05
—
1477535284
—
MO
Enumeration date
11/17/2005
Last updated
03/03/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us