Organization
JATOI CLINIC, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAEEMUDDIN JATOI M.D. (OWNER)
(217) 464-2505
Entity
Organization
Contact information
Practice address
1750 E LAKE SHORE DR, SUITE 100, DECATUR, IL 62521-3809
(217) 464-2505
(217) 464-3144
Mailing address
1750 E LAKE SHORE DR, SUITE 100, DECATUR, IL 62521-3809
(217) 464-2505
(217) 464-3144
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
Primary
—
—
Other
Enumeration date
06/20/2006
Last updated
04/17/2008
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