| Decatur 2016 Llc | |
|
141 Epershing Rd Decatur IL 62526 | |
| (888) 988-4066 | |
| (847) 496-7603 |
| Full Name | Decatur 2016 Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 141 Epershing Rd, Decatur, Illinois |
| Authorized Official Name and Position | Koushan Azad (PRESIDENT) |
| Authorized Official Contact | 8889884066 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Decatur 2016 Llc 2050 E Algonquin Rd Suite 610 Schaumburg IL 60173-4144 Ph: (888) 988-4066 | Decatur 2016 Llc 141 Epershing Rd Decatur IL 62526 Ph: (888) 988-4066 |
| NPI Number | 1891041570 |
|---|---|
| Provider Enumeration Date | 07/31/2012 |
| Last Update Date | 07/31/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891041570 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Decatur 2014 Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 141 E Pershing Rd, Suite 610, Decatur, IL 62526 Phone: 888-988-4066 Fax: 847-496-7603 | |
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Jesek, Willhite & Griffin Family Dental Care Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3040 S Mount Zion Rd, Decatur, IL 62521 Phone: 217-864-4494 Fax: 217-864-4486 | |
Kevin M. Artime Dmd Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1353 E Mound Rd, Suite 102, Decatur, IL 62526 Phone: 217-877-1601 Fax: 217-877-7302 | |
Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 141 E Pershing Rd, Decatur, IL 62526 Phone: 888-988-4066 Fax: 847-496-7603 | |
Brandon M. Piper, Dmd, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 469 W Wood St, Decatur, IL 62522 Phone: 217-428-3512 Fax: 217-428-3525 | |
Decatur 2015 Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 141 E Pershing Rd, Decatur, IL 62526 Phone: 888-988-4066 Fax: 847-496-7603 |