Organization
DECATUR EMERGENCY MEDICAL SERVICES II S C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY BALAGNA MD (PRESIDENT)
(217) 876-3000
Entity
Organization
Contact information
Practice address
2300 N EDWARD ST, DECATUR, IL 62526-4163
(217) 876-3000
Mailing address
PO BOX 4588, CAROL STREAM, IL 60197-4588
(800) 815-3365
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
Other
Enumeration date
08/22/2006
Last updated
06/11/2013
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