| Internal Medicine Subspecialty Associates Ltd | |
|
2 Memorial Drive Suite 101 Decatur IL 62526-1589 | |
| (217) 875-2640 | |
| (217) 875-3101 |
| Full Name | Internal Medicine Subspecialty Associates Ltd |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 2 Memorial Drive, Decatur, Illinois |
| Authorized Official Name and Position | Victor Nmi Eloy (PRESIDENT) |
| Authorized Official Contact | 2178752640 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Subspecialty Associates Ltd 2 Memorial Drive Suite 101 Decatur IL 62526-1589 Ph: (217) 875-2640 | Internal Medicine Subspecialty Associates Ltd 2 Memorial Drive Suite 101 Decatur IL 62526-1589 Ph: (217) 875-2640 |
| NPI Number | 1740209725 |
|---|---|
| Provider Enumeration Date | 07/19/2006 |
| Last Update Date | 12/07/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740209725 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 042-003886 (Illinois) | Primary |
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