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Contact Information

JERALD E CUNDIFF, MD
101 E MILLER RD
STERLING, IL61081
 Phone: 815-625-4790
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for JERALD E CUNDIFF · (Male)

NPI Number 1629068135
Status Active
Credentials MD
Entity Individual
Enumeration date 10/26/2005
Last updated 07/19/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 38957
  • MN Medicaid 291023300
  • WI Medicaid 32545800
Hospital affiliation(s)
  • CGH MEDICAL CENTER - (Acute Care)
    100 EAST LEFEVRE ROAD
    STERLING, IL 61081
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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