Individual
MR. DAVID I. DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 W COURT ST, KANKAKEE, IL 60901-3661
(815) 937-2278
Mailing address
500 W COURT ST, KANKAKEE, IL 60901-3661
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.002865
IL
Other
Enumeration date
07/26/2012
Last updated
07/26/2012
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