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Organization

KARE4KIDS SC

Active
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Organization

KARE4KIDS SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SAMIR A PATEL D.O. (PHYSICIAN)
(217) 423-2889
Entity
Organization

Contact information

Practice address
1900 E LAKE SHORE DR, SUITE 330, DECATUR, IL 62521-3824
(217) 423-2889
Mailing address
1900 E LAKE SHORE DR, SUITE 330, DECATUR, IL 62521-3824
(217) 423-2889

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
042619185
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036094812
—
IL
Enumeration date
01/17/2008
Last updated
09/07/2010
About Stedi
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