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NPI Provider: 1811993405
Contact Name: Kefalas Chris John
Position: President
Phone: (217) 425-2600
John C. Kefalas, M.d.,s.c. Information:
John C. Kefalas, M.d.,s.c. organization have npi 1811993405, taxonomy code is 207X00000X with license number is 36-094691 in . This Business address located in 1770 E Lake Shore Dr, Decatur, IL 62521 Illinois. Get directions of John C. Kefalas, M.d.,s.c..
Practice Location
Address: 1770 E Lake Shore Dr, Decatur, IL 62521
Phone: (217) 425-2600
Business Location
Address: 1770 E Lake Shore Dr, Decatur, IL 62521
Phone: (217) 425-2600
Fax: (217) 425-2900
Taxonomy
Taxonomy Code: 207X00000X
License Number: 36-094691
License Number of State: IL
Primary Taxonomy Switch: Y
Enumeration Date: 6/28/2005
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