| Delavan Pediatrics, Llc | |
|
101 E 5th St Delavan IL 61734-9619 | |
| (309) 244-8445 | |
| (309) 244-8452 |
| Full Name | Delavan Pediatrics, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 101 E 5th St, Delavan, Illinois |
| Authorized Official Name and Position | Joseph Flint (OWNER/PHYSICIAN) |
| Authorized Official Contact | 3092448445 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Delavan Pediatrics, Llc 101 E 5th St Delavan IL 61734-9619 Ph: () - | Delavan Pediatrics, Llc 101 E 5th St Delavan IL 61734-9619 Ph: (309) 244-8445 |
| NPI Number | 1053675181 |
|---|---|
| Provider Enumeration Date | 07/03/2012 |
| Last Update Date | 07/03/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053675181 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 036112406 (Illinois) | Primary |