Organization
KARE4KIDS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMIR A PATEL D.O. (PHYSICIAN)
(217) 423-2889
Entity
Organization
Contact information
Practice address
1900 E LAKE SHORE DR, SUITE 330, DECATUR, IL 62521-3824
(217) 423-2889
Mailing address
1900 E LAKE SHORE DR, SUITE 330, DECATUR, IL 62521-3824
(217) 423-2889
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
042619185
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036094812
—
IL
Enumeration date
01/17/2008
Last updated
09/07/2010
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