Individual
DR. JAMES MATTHEW KURLEY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2111 W PARK CT, CHAMPAIGN, IL 61821-2986
(217) 356-3850
(217) 356-3876
Mailing address
1702 MULLIKIN DR, CHAMPAIGN, IL 61822-8305
(217) 355-1380
(217) 356-3876
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
036076147
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036076147
—
IL
Enumeration date
10/10/2006
Last updated
08/04/2011
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