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Organization
MIDWEST INTERNAL MEDICINE SC
Active
Organization
MIDWEST INTERNAL MEDICINE SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUHAMMAD N KHAN MD (PHYSICIAN OWNER)
(217) 875-3810
Entity
Organization
Contact information
Practice address
2975 N WATER ST, DECATUR, IL 62526-4235
(217) 875-3810
(217) 875-5015
Mailing address
2975 N WATER ST, DECATUR, IL 62526-4235
(217) 875-3810
(217) 875-5015
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN0325
RAILROAD MEDICARE
IL
Enumeration date
05/17/2006
Last updated
09/17/2015
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