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EDEN AURELIO MD SC NPI 1952579054


NPI Information

NPI: 1952579054
Provider Name: EDEN AURELIO MD SC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
301 17TH AVE
EAST MOLINE, IL
ZIP 61244
Phone: (309) 755-4548
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EDEN AURELIO MD SC is an internal medicine in East Moline, IL. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. EDEN AURELIO MD SC NPI is 1952579054. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

301 17TH AVE
EAST MOLINE, IL
ZIP 61244-028
Phone: (309) 755-4548
Fax: (309) 755-4774

The provider's authorized official is Eden Gonzales Aurelio .
The authorized official title is Md Physician and has the following contact phone number (309) 755-4548.

The enumeration date for this NPI number is 2/12/2008 and was last updated on 2/12/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
108105516OTHERBCBS OF IL
2C46240MEDICARE UPIN
3739112MEDICARE PIN
436066418MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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