Organization
IHC-DECATUR EMERGENCY PHYSICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN VAUGHN (OFFICER)
(973) 251-1132
Entity
Organization
Contact information
Practice address
1800 E LAKE SHORE DR, DECATUR, IL 62521-3810
(414) 290-6718
(414) 290-6755
Mailing address
111 E WISCONSIN AVE STE 2000, MILWAUKEE, WI 53202-4809
(414) 290-6718
(414) 290-6755
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
01/05/2018
Last updated
02/08/2024
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