Delavan Pediatrics, Llc | |
101 E 5th St Delavan IL 61734-9619 | |
(309) 244-8445 | |
(309) 244-8452 |
Full Name | Delavan Pediatrics, Llc |
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Speciality | Clinic/center |
Location | 101 E 5th St, Delavan, Illinois |
Authorized Official Name and Position | Joseph Flint (OWNER/PHYSICIAN) |
Authorized Official Contact | 3092448445 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Delavan Pediatrics, Llc 101 E 5th St Delavan IL 61734-9619 Ph: () - | Delavan Pediatrics, Llc 101 E 5th St Delavan IL 61734-9619 Ph: (309) 244-8445 |
NPI Number | 1053675181 |
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Provider Enumeration Date | 07/03/2012 |
Last Update Date | 07/03/2012 |
Identifier | Type | State | Issuer |
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1053675181 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | 036112406 (Illinois) | Primary |