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Decatur Healthcare Llc
Ambulatory Surgical Clinic/Center in Decatur, Illinois
NPI 1235107939

Decatur Healthcare Llc is an Ambulatory Surgical Clinic/Center based in Decatur, IL and is specialized in Ambulatory Surgical. Decatur Healthcare Llc practices in Decatur, IL. The NPI Number for Decatur Healthcare Llc is 1235107939 and holds a License No. (Illinois).

The current practice location address for Decatur Healthcare Llc is 1770 E Lake Shore Dr, Decatur, IL and can be reached out via phone at 217-424-1021 and via fax at 217-424-1027.

Location: 1770 E Lake Shore Dr, Decatur, IL, 62521-3832
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1235107939
Provider Name
Decatur Healthcare Llc
Credential
Provider Entity Type
Organization
Address
1770 E Lake Shore Dr, Decatur, IL, 62521-3832
Phone Number
217-424-1021
Fax Number
217-424-1027
Provider Enumeration Date
03/09/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1770 E Lake Shore Dr
City
Decatur
State
Illinois
Zip
62521-3832
Phone Number
217-424-1021
Fax Number
217-424-1027
person
Provider Business Mailing Address Details
Address
1770 E Lake Shore Dr
City
Decatur
State
Illinois
Zip
62521-3832
Phone Number
217-424-1021
Fax Number
217-424-1027
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
261QA1903X
License No.
(Illinois)
Definition
Definition to come...
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