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Long Creek Medical Llc
Clinic/Center in Decatur, Illinois
NPI 1871345165

Long Creek Medical Llc is a Clinic/Center based in Decatur, IL. Long Creek Medical Llc practices in Decatur, IL. The NPI Number for Long Creek Medical Llc is 1871345165 and holds a License No. (Illinois).

The current practice location address for Long Creek Medical Llc is 2550 S 70Th St, Decatur, IL and can be reached out via phone at 217-330-0407.

Location: 2550 S 70Th St, Decatur, IL, 62521-8742
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1871345165
Provider Name
Long Creek Medical Llc
Credential
Provider Entity Type
Organization
Address
2550 S 70Th St, Decatur, IL, 62521-8742
Phone Number
217-330-0407
Fax Number
Provider Enumeration Date
04/02/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
2550 S 70Th St
City
Decatur
State
Illinois
Zip
62521-8742
Phone Number
217-330-0407
Fax Number
person
Provider Business Mailing Address Details
Address
2550 S 70Th St
City
Decatur
State
Illinois
Zip
62521-8742
Phone Number
217-330-0407
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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