Eden Aurelio Md Sc

LBN: Eden Aurelio Md Sc
Eden Aurelio Md Sc is an health care organization with primary practice located at 301 17Th Ave , East Moline IL 61244-2028. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Eden Aurelio Md Sc can be contacted via phone (309) 755-4548, or through Aurelio, Eden Gonzales via phone (309) 755-4548.

Contact Information

Primary practice address
301 17Th Ave East Moline IL 61244-2028
Phone: (309) 755-4548
Fax: (309) 755-4774
Website:
Map and Directions
Authorized official contact:
Name: Aurelio, Eden Gonzales Doctor of Medicine (MD)
Phone: (309) 755-4548

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1952579054
LBN Legal business name Eden Aurelio Md Sc
DBA Doing business as
Authorized official Aurelio, Eden Gonzales Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 12th, 2008
Last updated Feb 12th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952579054 NPPES
Illinois MEDICAID 36066418
Illinois Other 08105516

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