DANIEL MARTIN JURAK


Address: 935 E Division St, Diamond, IL 60416
Phone: 8156348447

DANIEL MARTIN JURAK (NPI# 1912919259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912919259
Entity Type Individual
Full Name DANIEL MARTIN JURAK
Credential DO
Practice Address 935 E Division St
Diamond
IL 60416
Mailing Address 114 W Waverly St
Morris
IL 60450-1422
Practice Telephone 8156348447
Practice Fax Number 8156348612
Mailing Telephone 8156340529
Mailing Fax Number 1856340127
Enumeration Date 2006-08-13
Last Update Date 2018-06-07
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 036086918 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL 036086918 05
IL ILLINOIS BC/BS 0003220011 01

Office Location

Street Address 935 E DIVISION ST
City DIAMOND
State IL
Zip Code 60416

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245759083 Jenna Valentine Counselor 40 N Broadway Street, Coal City, IL 60416 2017-09-13
1518042688 Highland Park Cvs, L.L.C. Durable Medical Equipment & Medical Supplies 245 S Broadway Street, Coal City, IL 60416 2006-10-26
1538653894 Natalie A Palka Nurse Practitioner 5775 E State Route 113, Coal City, IL 60416 2018-06-20
1437235447 Highland Park Cvs, L.L.C. Durable Medical Equipment & Medical Supplies 245 S Broadway Street, Coal City, IL 60416 2006-10-31
1144745100 Amanda Patten Speech-Language Pathologist 300 N Broadway St, Coal City, IL 60416-1043 2017-08-10
1467487975 Roman M Smyk Surgery 460 N Broadway St, Coal City, IL 60416-1045 2006-07-12
1144471772 Spyro D. Analytis, Mdpc Internal Medicine 460 N Broadway St, Coal City, IL 60416-1045 2008-10-01
1487729430 John D Scala Md PC Pediatrics 460 N Broadway St, Coal City, IL 60416-1045 2006-11-22
1821201575 Pullara Family Dental Center Dentist 595 N Broadway St, Coal City, IL 60416-1046 2007-05-08
1669029245 Kristin Marie Vaught Dentist 595 N Broadway St, Coal City, IL 60416-1046 2019-08-20
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy 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 is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578173761 Cassandra Marie Clawson Family Medicine 10655 Tallmadge Rd, Diamond, OH 44412-9749 2020-08-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1053911495 Moataz Barkat Family Medicine 3315 W 66th Pl, Chicago, IL 60629-3427 2020-10-26
1558969964 Nicole Kerner Family Medicine 310 Brandy Dr, Mackinaw, IL 61755-9707 2020-10-16
1285232991 Healthy Medical Inc Family Medicine 535 N. East St., Suite A, Bradley, IL 60915 2020-10-14
1558976589 Jasmine Ashley Fowler Family Medicine 2416 N Lotus Ave, Chicago, IL 60639-1435 2020-09-15
1790390805 Kimberly Hannah Kupferberg Family Medicine 1103 Schaeffer Rd, Long Grove, IL 60047-5153 2020-09-15
1194330977 Home Doctors for You Family Medicine 670 Illinois Blvd, Hoffman Est, IL 60169-3363 2020-09-09
1245844489 Jovita Zalwango Nassolo Family Medicine 116 1/2 N Benton St Apt 2d, Woodstock, IL 60098-3272 2020-09-04
1720699176 Healing Hands Resource Center Streator Family Medicine 2128 S Central Park Ave, Chicago, IL 60623-3113 2020-08-10
1417565755 Ghr Total Health and Consulting Family Medicine 11336 Mckenna Dr, Frankfort, IL 60423-8096 2020-07-22
1285251892 Soe Lwin Oo Family Medicine 1625 E 75th St # 1, Chicago, IL 60649-3603 2020-06-30
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Competitor

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City DIAMOND
Zip Code 60416

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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