DECATUR 2012 LLC

NPI: 1306107578 · Organization · Active

Primary Specialty

Dental Clinic/Center
Clinic/Center — Dental

Practice Location

141 E PERSHING RD
DECATUR, IL 62526-3213 Map ↗
Phone: 888-988-4066
Fax: 847-496-7603

Mailing Address

2050 E ALGONQUIN RD
SUITE 610
SCHAUMBURG, IL 60173-4144 Map ↗
Phone: 888-988-8406
Fax: 847-496-7603

Used for billing & correspondence; clinical visits at the Practice Location above.

All Specialties & Licenses

  • Dental Clinic/Center Primary — Dental

NPI Registration

Enumerated: 2012-06-05

Last CMS Update: 2021-10-15