Organization
DECATUR PEDIATRIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE S WARNICK MD (OWNER)
(217) 423-8800
Entity
Organization
Contact information
Practice address
1770 E LAKE SHORE DR, DECATUR, IL 62521-3832
(217) 423-8800
(217) 422-8120
Mailing address
1770 E LAKE SHORE DR, DECATUR, IL 62521-3832
(217) 423-8800
(217) 422-8120
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
12/29/2006
Last updated
08/22/2020
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