DEPARTMENT OF VETERANS AFFAIRS
Organization (NPI-2)
Active
Clinic/Center, VA
Provider Information
- NPI Number
1538398656- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 3035 E MOUND RD, DECATUR, IL, 625269650
- Phone
- (217) 875-2670
Specialties & Taxonomies
Clinic/Center, VA
Primary License: IL #164000383