Individual
DR. DEBRA BABICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2880 N MONROE ST, DECATUR, IL 62526-3269
(217) 330-8939
(217) 330-9063
Mailing address
2880 N MONROE ST, DECATUR, IL 62526-3269
(217) 330-8939
(217) 330-9063
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036-099961
IL
207NS0135X
Procedural Dermatology Physician
036-099961
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007694141
AETNA
IL
05
—
0360999613
—
IL
01
—
435223
HEALTHLINK
IL
01
—
5832043
BLUE CROSS
IL
Enumeration date
06/20/2006
Last updated
08/24/2022
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