| Midwest Internal Medicine SC | |
|
2975 N Water St Decatur IL 62526-4235 | |
| (217) 875-3810 | |
| (217) 875-5015 |
| Full Name | Midwest Internal Medicine SC |
|---|---|
| Speciality | Internal Medicine |
| Location | 2975 N Water St, Decatur, Illinois |
| Authorized Official Name and Position | Muhammad N Khan (PHYSICIAN OWNER) |
| Authorized Official Contact | 2178753810 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Internal Medicine SC 2975 N Water St Decatur IL 62526-4235 Ph: (217) 875-3810 | Midwest Internal Medicine SC 2975 N Water St Decatur IL 62526-4235 Ph: (217) 875-3810 |
| NPI Number | 1194777268 |
|---|---|
| Provider Enumeration Date | 05/17/2006 |
| Last Update Date | 09/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194777268 | NPI | - | NPPES |
| DN0325 | Other | IL | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
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