| Gregory L. Totel, M.d.,s.c. | |
|
1 Memorial Dr Ste 201 Decatur IL 62526-6317 | |
| (217) 875-1090 | |
| (217) 875-1099 |
| Full Name | Gregory L. Totel, M.d.,s.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1 Memorial Dr Ste 201, Decatur, Illinois |
| Authorized Official Name and Position | Gregory Lee Totel (PRESIDENT) |
| Authorized Official Contact | 2178751090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory L. Totel, M.d.,s.c. 1 Memorial Dr Ste 201 Decatur IL 62526-6317 Ph: (217) 875-1090 | Gregory L. Totel, M.d.,s.c. 1 Memorial Dr Ste 201 Decatur IL 62526-6317 Ph: (217) 875-1090 |
| NPI Number | 1740598234 |
|---|---|
| Provider Enumeration Date | 09/17/2010 |
| Last Update Date | 09/17/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740598234 | NPI | - | NPPES |
| 05822058 | Other | IL | BLUE CROSS BLUE SHEILD |
| 036068474 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036068474 (Illinois) | Primary |
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