Individual
STEVEN DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
350 N WALL ST, KANKAKEE, IL 60901-2901
(815) 933-1671
Mailing address
2000 GREEN RD, SUITE 300, ANN ARBOR, MI 48105-1598
(734) 995-3764
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036-088679
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036088679-7
—
IL
Enumeration date
06/05/2006
Last updated
01/27/2011
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