Organization
DECATUR ORTHOPEDIC CENTER, LLC
Active
Organization
DECATUR ORTHOPEDIC CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN E SAMS (FINANCE DIRECTOR)
(217) 864-2665
Entity
Organization
Contact information
Practice address
104 E ASHLAND AVE, MT ZION, IL 62549-1271
(217) 864-2665
Mailing address
104 E ASHLAND AVE, MT ZION, IL 62549-1271
(217) 864-2665
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
03/15/2022
Last updated
03/15/2022
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