Ilona Jurek MD Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35062523 Issued in OH

Legal business name

ILONA JUREK MD INC

Practice address

3600 Kolbe Rd
Ste 205
Lorain, OH 44053-1654

Phone

(440) 960-5622

Fax

(440) 960-1690

NPI assigned

Oct 31, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Laurie Turner

Title

Credentialing Coordinator

Phone

(440) 988-1009

Specialties & licenses 1

Addresses

Other identifiers 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260748800000",
    "number": "1275712879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1303",
            "city": "AMHERST",
            "state": "OH",
            "postal_code": "440017303",
            "telephone_number": "440-244-0010",
            "fax_number": "440-244-0726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 KOLBE RD",
            "address_2": "STE 205",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440531654",
            "telephone_number": "440-960-5622",
            "fax_number": "440-960-1690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILONA JUREK MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2009-12-14",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "440-988-1009"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35062523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0871669",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0236248",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Judy Hyde, L.P.C.C.
• Nagwa Ibrahim, L.S.W.
• Mackenzie Lee Ice, MS, APRN, PMHNP-BC
• Julie Iemma, MED, AT, ROT, OPE-C
• David M Iliano, PA-C
• Wes K Immler, O,D,
• Integrity Foot and Ankle Associates, LLC
• Irma Marquez
• Brenda Irwin, L.P.C.C.
• Elsa Isaac, LSW

• Family Medicine Physician in Lorain, OH
• Providers in Lorain, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.