Babich, Debra

Babich, Debra is an individual health care provider with primary practice located at 2880 N Monroe St , Decatur IL 62526-3269. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Babich, Debra can be contacted via phone (217) 330-8939.

Contact Information

Primary practice address
2880 N Monroe St Decatur IL 62526-3269
Phone: (217) 330-8939
Fax: (217) 330-9063
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 036-099961 Illinois
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 036-099961 Illinois

Profile Details

NPI number 1649215757
LBN Legal business name Babich, Debra
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Aug 24th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649215757 NPPES
Illinois Other 007694141 AETNA
Illinois Other 5832043 AETNA
Illinois Other 435223 AETNA
Illinois MEDICAID 0360999613 AETNA

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