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Organization

IMAGING CONSULTANTS OF CENTRAL ILLINOIS SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARK MUSCATO MD (PRESIDENT)
(217) 876-2300
Entity
Organization

Contact information

Practice address
2300 N EDWARD ST, DECATUR, IL 62526-4163
(217) 876-2300
Mailing address
389 W WEAVER RD, FORSYTH, IL 62535-9800

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary

Other

Enumeration date
05/25/2022
Last updated
05/25/2022
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