# DELAVAN PEDIATRICS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053675181
- **Authorized official:** JOSEPH FLINT MD (OWNER/PHYSICIAN)
- **Authorized official phone:** (309) 244-8445

## Contact information

- **Practice address:** 101 E 5TH ST, DELAVAN, IL 61734-9619
- **Practice address phone:** (309) 244-8445
- **Practice address fax:** (309) 244-8452
- **Mailing address:** 101 E 5TH ST, DELAVAN, IL 61734-9619

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 036112406 | IL | Yes |

## Other

- **Enumeration date:** 07/03/2012
- **Last updated:** 07/03/2012