AELA PAULINE DIANE C VELY

CARBONDALE, IL
NPI1720368145
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2086S0102X Surgery, Surgical Critical Care
(Licence: IL  036.146489)
Additional Taxonomies208600000X Surgery
(Licence: IL  036.146489)
2086S0127X Surgery, Trauma Surgery
(Licence: IL  036.146489)
Enumeration Date2011-08-17
Last Update Date2021-01-06
Business Address
AELA PAULINE DIANE C VELY M.D.
305 W JACKSON ST STE 206
CARBONDALE, IL 62901-1474
Phone number: 618-457-3006
Mailing Address
AELA PAULINE DIANE C VELY M.D.
PO BOX 3988
CARBONDALE, IL 62902-3988
Phone number: 618-457-5200