Individual
PATRICIA DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
103 W SOUTH ST, FLANAGAN, IL 61740-7547
(815) 796-4591
(815) 796-4212
Mailing address
103 W SOUTH ST, FLANAGAN, IL 61740-7547
(815) 796-4591
(815) 796-4212
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
041275869/209004453
IL
Other
Enumeration date
10/01/2006
Last updated
07/08/2007
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