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Organization

DECATUR NEUROLOGICAL ASSOCIATES LTD.

Active
Parent organization
DECATUR NEUROLOGICAL ASSOCIATES LTD.
Organization subpart
Yes

Provider details

NPI number
Legal business name
DECATUR NEUROLOGICAL ASSOCIATES LTD.
Authorized official
RANA HAMID MAHMOOD MD (PHYSICIAN/OWNER)
(217) 872-5943
Entity
Organization

Contact information

Practice address
1750 E LAKE SHORE DR STE 310, DECATUR, IL 62521-3806
(217) 872-5943
(217) 872-7665
Mailing address
304 W HAY ST, STE 214, DECATUR, IL 62526-6328
(217) 872-5943
(217) 872-7665

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
261QM2500X
Medical Specialty Clinic/Center
042004464
IL
261QM2500X
Medical Specialty Clinic/Center
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036045992
IL
Enumeration date
03/30/2007
Last updated
05/02/2025
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