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1376930008
PRAIRIE EMERGENCY PHYSICIANS, LLP
DECATUR, IL
NPI
1376930008
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Entity Type
Organization
Authorized Contact
DERIK KING
Managing Partner
866-916-5259
Organization Subpart ?
No
Primary Taxonomy
207P00000X Emergency Medicine
Enumeration Date
2015-04-21
Last Update Date
2015-04-21
Business Address
PRAIRIE EMERGENCY PHYSICIANS, LLP
2300 N EDWARD ST
DECATUR, IL 62526-4163
Phone number: 217-876-8121
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Mailing Address
PRAIRIE EMERGENCY PHYSICIANS, LLP
75 REMIT DR # 1367
CHICAGO, IL 60675-0001
Phone number: 800-210-7034
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