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Organization
DECATUR MEMORIAL HOSPITAL
Active
Organization
DECATUR MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES E MARTINEZ ATC, CSCS (ATHLETIC TRAINER)
(217) 358-2805
Entity
Organization
Contact information
Practice address
2300 N EDWARD ST, DECATUR, IL 62526-4163
(217) 876-2690
Mailing address
2230 W RAVINA PARK RD, DECATUR, IL 62526-3047
(217) 358-2805
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
IL
Other
Enumeration date
04/19/2006
Last updated
08/22/2020
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