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ST MARYS HOSPITAL DECATUR OF THE HOSPITAL SISTERS OF THE THIRD ORDER
Physician Assistant
NPI: 1174702708Organization
Specialties, Licenses & Credentials
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
085-003034(IL)
Contact & Hours
- Address
- 1900 E LAKE SHORE DR, SUITE 200
DECATUR, IL 62521 - Phone
- (217) 464-1030
Quick Facts
- NPI
- 1174702708
- Entity Type
- Organization
- Medicare
- Not confirmed
- Specialties
- 1
- Locations
- 1
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