Decatur Pediatric Clinic in Decatur - Pediatrics
Decatur Pediatric Clinic - NPI 1184780348
Decatur Pediatric Clinic is a Pediatrics in Decatur, Illinois. Decatur Pediatric Clinic practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Decatur Pediatric Clinic is 1184780348. The last update date is 2020-08-22.
Decatur Pediatric Clinic's current location address is 1770 E Lake Shore Dr, Decatur, Illinois. You can contact this provider via phone number 2174238800 and fax number 2174228120. The mailing address for Decatur Pediatric Clinic is 1770 E Lake Shore Dr, Decatur, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Decatur Pediatric Clinic |
|---|---|
| Address | 1770 E Lake Shore Dr, Decatur, Illinois |
| Phone Number | 2174238800 |
| Fax Number | 2174228120 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Warnick S Jamie |
| Credentials | MD |
| Telephone Number | 2174238800 |
NPI Number Detail
| NPI Number | 1184780348 |
|---|---|
| Provider Enumeration Date | 2006-12-29 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1770 E Lake Shore Dr |
|---|---|
| City | Decatur |
| State | Illinois (IL) |
| Post Code | 625213832 |
| Phone Number | 2174238800 |
| Fax Number | 2174228120 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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What is the Decatur Pediatric Clinic's unique identification number?
The Decatur Pediatric Clinic has been assigned the NPI (National Provider Identifier) Number 1184780348 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Decatur Pediatric Clinic located?
The Decatur Pediatric Clinic is located at 1770 E Lake Shore Dr, Decatur, IL 625213832.
What is the area of specialization for Decatur Pediatric Clinic, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Decatur Pediatric Clinic is Pediatrics, and the corresponding taxonomy code that categorizes this area of expertise is 208000000X.
On what date did Decatur Pediatric Clinic receive its 1184780348 assignment from the Centers for Medicare & Medicaid Services?
The Decatur Pediatric Clinic was assigned its 1184780348 on 2006-12-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Decatur Pediatric Clinic, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Decatur Pediatric Clinic, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.