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GAILEY EYE SURGERY - DECATUR, LLC

Surgery Yellow Pages

Decatur, Illinois

Provider NPI: 1023056090

Organization Information:
Organization Name:  GAILEY EYE SURGERY - DECATUR, LLC


Practice Location:
646 W PERSHING RD  DECATUR, IL 62526 US
Tel: 217-875-2600  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QS0132XAmbulatory Health Care Facilities
Clinic/Center
Ophthalmologic Surgery
IL

Other Provider Identifiers:

IssuerNumberStateType
BLUE CROSS BLUE SHEILD50636IL01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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