Provider First Line Business Practice Location Address:
DECATUR MEMORIAL HOSPITAL
Provider Second Line Business Practice Location Address:
2300 N EDWARD ST
Provider Business Practice Location Address City Name:
DECATUR
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
62526
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
217-876-8121
Provider Business Practice Location Address Fax Number:
217-876-2261
Provider Enumeration Date:
06/14/2006