Organization
DECATUR OPEN MRI, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM CHRIS KEFALAS (ADMINISTRATOR)
(217) 520-2262
Entity
Organization
Contact information
Practice address
2905 N MAIN ST, SUITE F, DECATUR, IL 62526-4276
(217) 330-6930
(217) 791-6906
Mailing address
2905 N MAIN ST, SUITE F, DECATUR, IL 62526-4276
(217) 330-6930
(217) 791-6906
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Enumeration date
09/26/2016
Last updated
02/13/2017
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