Kornelia G. Juergensen in Marseilles - Family Medicine
Kornelia G. Juergensen - NPI 1477535284
Kornelia G. Juergensen is a Family Medicine in Marseilles, Illinois. Kornelia G. Juergensen practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Kornelia G. Juergensen is 1477535284. The last update date is 2010-03-03.
Kornelia G. Juergensen's current location address is 2559 E 2450th Rd, Marseilles, Illinois. You can contact this provider via phone number 8157955591 and fax number 8157955591. The mailing address for Kornelia G. Juergensen is 2559 E 2450th Rd, Marseilles, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kornelia G. Juergensen |
---|---|
Address | 2559 E 2450th Rd, Marseilles, Illinois |
Phone Number | 8157955591 |
Fax Number | 8157955591 |
Sole Proprietor | N |
Credentials | MD, PHD, A |
NPI Number Detail
NPI Number | 1477535284 |
---|---|
Provider Enumeration Date | 2005-11-17 |
Last Updated Date | 2010-03-03 |
Provider Mailing Address Detail
Address | 2559 E 2450th Rd |
---|---|
City | Marseilles |
State | Illinois (IL) |
Post Code | 613419749 |
Phone Number | 8157955591 |
Fax Number | 8157955591 |
Provider's Primary Taxonomy Detail
Speciality | Family Medicine |
---|---|
Taxonomy | 207Q00000X |
Licence No | 036-104391 |
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
36104391 | IL | -- | |
1477535284 | MO | -- | |
137710004 | MO | MEDICARE IND # |
Post Comment/ Review Below
What is the unique identifier code issued to Kornelia G. Juergensen by the Centers for Medicare & Medicaid Services (CMS)?
The Kornelia G. Juergensen has been assigned the NPI (National Provider Identifier) 1477535284. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Kornelia G. Juergensen?
The Kornelia G. Juergensen is physically situated at 2559 E 2450Th Rd, in the city of Marseilles, state of IL, with the postal code 613419749.
What is Kornelia G. Juergensen's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kornelia G. Juergensen is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.
On what date did Kornelia G. Juergensen receive its 1477535284 assignment from the Centers for Medicare & Medicaid Services?
The Kornelia G. Juergensen was assigned its 1477535284 on 2005-11-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Kornelia G. Juergensen's details last updated?
The information pertaining to the Kornelia G. Juergensen, including its address, specialty, and other details, was most recently updated on 2010-03-03.