Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ALFONSO E URDANETA, MD
ActiveFamily Medicine · NASHVILLE, IL
Registration Details
- NPI Number
- 1225085590
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 30, 2006 (19.926862579239 yrs)
- Last Updated
- Nov 3, 2009
- Licenses
-
036047128 (IL)036047128 (IL)
Practice Information
- Address
-
705 SOUTH GRAND AVENUENASHVILLE, IL, 622631534Browse IL providers · Browse ZIP 62263
- Phone
- 6183272225
- Fax
- 6183272229
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in NASHVILLE, IL
| Name | Credential | NPI |
|---|---|---|
| GINGER FEWELL | M.D. | 1619263647 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.