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Individual

JAMIE SUE WARNICK

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MD

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 62521-3842
(217) 423-8800
(217) 422-8120

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
05832048
BLUE CROSS BLUE SHIELD
IL
01
103881
HEALTHLINK
IL
01
103995
HEALTH ALLIANCE
IL
01
2251711
CIGNA
IL
01
7990630
AETNA
IL
Enumeration date
12/22/2005
Last updated
07/08/2007
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