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Organization

GAILEY EYE SURGERY-DECATUR LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ARA D APRAHAMIAN MD (MEDICAL DIRECTOR)
(309) 829-5311
Entity
Organization

Contact information

Practice address
646 W PERSHING RD, DECATUR, IL 62526-1633
(217) 875-2600
(217) 875-9525
Mailing address
646 W PERSHING RD, DECATUR, IL 62526-1633
(217) 875-2600
(217) 875-2700

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
50636
BLUE CROSS BLUE SHEILD
IL
Enumeration date
06/03/2006
Last updated
04/30/2025
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