NPI 1942425517

Progressive Family Health

Organisation Legal Medicine Decatur, IL

Practice location

Address: 1110 Arbor Dr Suite D, Decatur, IL 62526-9285
Phone: (217) 875-9995

Authorised official

Name: Kevin Krol
Title: President
Phone: (217) 875-9995

Registered specialties

Legal Medicine Primary

Other Service Providers Taxonomy 173000000X Licence 207Q00000X (IL)

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Registry record

NPI: 1942425517
Entity type: Organization
NPI issued: 17 Apr 2007
Record last updated: 28 Jul 2007

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.