Daniel Jurak D O S C

NPI #1134308612 in Coal City, Illinois

Provider Information

NPI Number: 1134308612
Entity Type: Organization
Organization Name: Daniel Jurak D O S C
Primary Specialty: Family Medicine
Enumeration Date: Oct 31, 2007
Last Updated: Oct 31, 2007

Practice Location

Address: 935 E DIVISION
City: Coal City
State: Illinois
ZIP Code: 60416-1346
Phone: (815) 634-0529

Authorized Official

Name: DANIEL M JURAK, DO
Title: OWNER
Phone: (815) 634-8447

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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