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Contact Information

VICTORIA KALIVODA POPELA, DO
1000 W HARLEM AVE
MONMOUTH, IL61462-1007
 Phone: 309-734-1414
 Fax: 309-734-0323
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for VICTORIA KALIVODA POPELA · (Female)

NPI # 1063408631
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 09/20/2005
Last updated 02/09/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 036075881
  • IL Medicaid 371352599001
Hospital affiliation(s)
  • FAYETTE COUNTY HOSPITAL - (Critical Access)
    7TH AND TAYLOR
    VANDALIA, IL 62471
  • MASON DISTRICT HOSPITAL - (Critical Access)
    615 NORTH PROMENADE STREET,P O BOX 530
    HAVANA, IL 62644
  • MEMORIAL HOSPITAL - (Critical Access)
    SOUTH ADAMS ST, PO BOX 160
    CARTHAGE, IL 62321
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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