Organization
DELAVAN PEDIATRICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH FLINT MD (OWNER/PHYSICIAN)
(309) 244-8445
Entity
Organization
Contact information
Practice address
101 E 5TH ST, DELAVAN, IL 61734-9619
(309) 244-8445
(309) 244-8452
Mailing address
101 E 5TH ST, DELAVAN, IL 61734-9619
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
036112406
IL
Other
Enumeration date
07/03/2012
Last updated
07/03/2012
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