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Individual

CATALINA WEST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
304 W HAY ST STE 212, DECATUR, IL 62526-6376
(217) 876-4390
(217) 876-4395
Mailing address
4455 E US ROUTE 36, DECATUR, IL 62521-5003
(217) 876-5320
(217) 876-5945

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
209026829
IL
363LF0000X
Family Nurse Practitioner
Primary
209026829
IL

Other

Enumeration date
03/06/2023
Last updated
12/09/2025
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