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.
|Practice Location||440 Sunset Ct Ste C, Mt Zion, IL 62549-1556, US|
|Practice Location Phone||217-864-1236|
|Practice Location Fax||217-864-1470|
|Legal Business Name||DECATUR FAMILY MEDICAL GROUP INC|
|Other Organization Name||CORNERSTONE FAMILY MEDICAL CENTER|
|Other Organization Name Type||Doing Business As Name|
|Enumeration Date ?||Mar 30, 2012|
|Last Update Date ?||Mar 17, 2018|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Clinic/Center||Ambulatory Health Care Facilities||Primary Care||036103155||Illinois|
|Provider Id||Issuer State||Issuer Type||Issuer|
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/Position||CEO|
|Authorized Official Phone Number||217-422-3702|