Sports Medicine Clinic of Macon County

NPI #1174594717 in Decatur, Illinois

Provider Information

NPI Number
1174594717
Entity Type
Organization
Organization Name
Sports Medicine Clinic of Macon County
Primary Specialty
Physical Therapist
Enumeration Date
Jan 31, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
1900 E LAKE SHORE DR
Address 2
SUITE 150
ZIP Code
62521-3824
Phone
(217) 428-6222

Authorized Official

Name
MISS ROBERT W HILL, ATC
Title
OWNER, CEO
Phone
(217) 428-6222

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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