NPI 1306896170

Jeffrey a Kornblum, MD

Practitioner Neurological Surgery Physician Urbana, IL

Practice location

Address: 602 W. University Avenue Neurosurgery, Urbana, IL 61801
Phone: (217) 383-3507
Fax: (217) 383-3171
Mailing address: P.O. Box 6002, Urbana, IL 61803-6002

Registered specialties

Neurological Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207T00000X Licence E2806 (AR)

Other Neurological Surgery providers in Illinois →

Registry record

NPI: 1306896170
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 May 2006
Record last updated: 23 Dec 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.