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Decatur Family Medical Group Inc

Decatur Family Medical Group Inc is a health care provider in Decatur, IL. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 440 Sunset Ct Ste C, Mt Zion, IL 62549-1556, US
Practice Location Phone217-864-1236
Practice Location Fax217-864-1470
Legal Business NameDECATUR FAMILY MEDICAL GROUP INC
Other Organization NameCORNERSTONE FAMILY MEDICAL CENTER
Other Organization Name TypeDoing Business As Name
NPI ?1619243987
Entity TypeOrganization
Enumeration Date ? Mar 30, 2012
Last Update Date ? Mar 17, 2018
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Decatur Family Medical Group Inc

SpecialtySpecializationLicenseLicense State
Clinic/CenterPrimary Care 036103155Illinois

legacy-id-icon Legacy Provider IDs of Decatur Family Medical Group Inc

Provider IdIssuer StateIssuer TypeIssuer
1871599522OtherPROVIDER'S NPI

official-icon Authorized Official of Decatur Family Medical Group Inc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Decatur Family Medical Group Inc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Dr. David Carl Gregory (M.D.)
Authorized Official Title/PositionCEO
Authorized Official Phone Number217-422-3702