Organization
CENTRAL ILLINOIS HEALTH ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARSHALL F. BRUSTEIN M.D. (CHAIRMAN)
(217) 872-8204
Entity
Organization
Contact information
Practice address
2300 N. EDWARD STREET, DECATUR, IL 62526
(217) 877-6020
(217) 873-6029
Mailing address
2300 N. EDWARD STREET, DECATUR, IL 62526
(217) 877-6020
(217) 873-6029
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
08/18/2014
Last updated
08/18/2014
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