Organization
EDEN AURELIO MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDEN GONZALES AURELIO MD (MD PHYSICIAN)
(309) 755-4548
Entity
Organization
Contact information
Practice address
301 17TH AVE, EAST MOLINE, IL 61244-2028
(309) 755-4548
(309) 755-4774
Mailing address
301 17TH AVE, EAST MOLINE, IL 61244-2028
(309) 755-4548
(309) 755-4774
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08105516
BCBS OF IL
—
05
—
36066418
—
IL
Enumeration date
02/12/2008
Last updated
02/12/2008
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