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Contact Information

GERONIMO V GARCIA, MD
2300 N EDWARD STREET
DECATUR, IL62526
 Phone: 217-876-3000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for GERONIMO V GARCIA · (Male)

NPI Number 1417042938
Status Active
Credentials MD
Entity Individual
Enumeration date 10/03/2006
Last updated 12/19/2021 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036-110147
  • IL Medicaid 036110147-1
  • IL Other 5823820 BCBS OF ILLINOIS GROUP PI
Hospital affiliation(s)
  • DECATUR MEMORIAL HOSPITAL - (Acute Care)
    2300 NORTH EDWARD STREET
    DECATUR, IL 62526
  • ST MARYS HOSPITAL - (Acute Care)
    1800 E LAKE SHORE DR
    DECATUR, IL 62521
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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