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1487053369
CENTRAL ILLINOIS HEALTH ASSOCIATES, INC
DECATUR, IL
NPI
1487053369
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Entity Type
Organization
Authorized Contact
MARSHALL F. BRUSTEIN
Chairman
217-872-8204
Organization Subpart ?
No
Primary Taxonomy
305R00000X Preferred Provider Organization
Enumeration Date
2014-08-18
Last Update Date
2014-08-18
Business Address
CENTRAL ILLINOIS HEALTH ASSOCIATES, INC
2300 N. EDWARD STREET
DECATUR, IL 62526
Phone number: 217-877-6020
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Mailing Address
CENTRAL ILLINOIS HEALTH ASSOCIATES, INC
2300 N. EDWARD STREET
DECATUR, IL 62526
Phone number: 217-877-6020
Copy