Organization
DECATUR ORTHOPEDIC CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLY DOYLE (OFFICE MANAGER)
(217) 864-8364
Entity
Organization
Contact information
Practice address
104 E ASHLAND AVE, MT ZION, IL 62549-1271
(217) 864-2665
(217) 864-8042
Mailing address
104 E ASHLAND AVE, MT ZION, IL 62549-1271
(217) 864-2665
(217) 864-8042
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/26/2021
Last updated
01/26/2021
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