Center For Sight Of Central Illinois Sc

NPI 1093854820 - Durable Medical Equipment & Medical Supplies - 332B00000X

NPI Details
NPI 1093854820
Enumeration Date 02/06/2007
Last Updated 04/24/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MARCUS S MARCUS
Position OWNER
Phone (217) 233-3101
Fax (217) 233-3107
Practice Location
2442 N ROUTE 121
DECATUR IL, 62526-9461, US
Phone (217) 233-3101
Fax (217) 233-3107
Business Location
2442 N ROUTE 121
DECATUR IL, 62526-9461, US
Phone (217) 233-3101
Fax (217) 233-3107
Toxanomy
Taxonomy Code 332B00000X
License State Illinois
License Number 036069820
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According to our database, Center For Sight Of Central Illinois Sc NPI is 1093854820, taxonomy code is 332B00000X and license number is 036069820, license state is located at Illinois. Center For Sight Of Central Illinois Sc physically located at 2442 N Route 121, Decatur IL, 62526-9461. NPI Number 1033115704 has the healthcare provider type.

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1093854820 NPI number is provided on an as is basis without warranty of any kind. 1093854820 is maintained by the National Plan & Provider Enumeration System. The contents of Center For Sight Of Central Illinois Sc are for informational purposes only.