Individual
CORA E. MUSIAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD,MD
Contact information
Practice address
3314 PATRIOT CT, HERRIN, IL 62948
(618) 993-0056
(618) 993-0752
Mailing address
611 W PARK ST, BWPC, URBANA, IL 61801-2529
(217) 383-6792
(217) 383-1523
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
036097867
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
214881
MEDICARE GROUP PTAN
IL
Enumeration date
08/14/2006
Last updated
08/16/2018
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