Decatur Hco, LLC

Practice location

Address

136 S Dipper Ln, Decatur, IL 62522-1841

Phone

(217) 428-7767

Fax

(217) 428-7454

Mailing address

830 W Trailcreek Dr, Peoria, IL 61614-1862

Authorised official

Name

Mark B. Petersen

Title

Manager

Phone

(309) 689-5880

Registered specialties

Registry record

NPI

1063459329

Entity type

Organization

NPI issued

2 Jun 2006

Record last updated

10 Dec 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.