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DECATUR, IL
NPI1184746984
Entity TypeOrganization
Authorized ContactKEITH LEWIS FABRIQUE
President
217-233-0650
Organization Subpart ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: IL  042618013)
Enumeration Date2007-04-04
Last Update Date2020-08-22
Business Address
BACK TO HEALTH CLINIC SC
511 N BRUSH COLLEGE RD
DECATUR, IL 62521-1652
Phone number: 217-233-0650
Mailing Address
BACK TO HEALTH CLINIC SC
511 N BRUSH COLLEGE RD
DECATUR, IL 62521-1652
Phone number: 217-233-0650
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