institution
Decatur Digestive Disease Center Llc
Ambulatory Surgical Clinic/Center in Decatur, Illinois
NPI 1134185564

Decatur Digestive Disease Center Llc is an Ambulatory Surgical Clinic/Center based in Decatur, IL and is specialized in Ambulatory Surgical. Decatur Digestive Disease Center Llc practices in Decatur, IL. The NPI Number for Decatur Digestive Disease Center Llc is 1134185564 and holds a License No. 7002983 (Illinois).

The current practice location address for Decatur Digestive Disease Center Llc is 2 Memorial Dr Suite 102, Decatur, IL and can be reached out via phone at 217-233-0003 and via fax at 217-233-0077.

Location: 2 Memorial Dr Suite 102, Decatur, IL, 62526-3950
institution
Provider Profile Details
NPI Number
1134185564
Provider Name
Decatur Digestive Disease Center Llc
Credential
Provider Entity Type
Organization
Address
2 Memorial Dr Suite 102, Decatur, IL, 62526-3950
Phone Number
217-233-0003
Fax Number
217-233-0077
Provider Enumeration Date
04/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
50402 01 IL BLUE CROSS BLUE SHIELD
P00257307 01 IL MEDICARE RAILROAD
institution
Provider Business Practice Location Address Details
Address
2 Memorial Dr Suite 102
City
State
Zip
62526-3950
Phone Number
217-233-0003
Fax Number
217-233-0077
person
Provider Business Mailing Address Details
Address
2 Memorial Dr Suite 102
City
State
Zip
62526-3950
Phone Number
217-233-0003
Fax Number
217-233-0077
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
7002983 (Illinois)
Definition
Definition to come...
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