Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Decatur Orthopedic Center, LLC

Organization Orthopaedic Surgery Physician · NPI 1336586114

Decatur Orthopedic Center, LLC is an Orthopaedic Surgery Physician in Mt Zion, Illinois. Licensed in Illinois. Registered with an NPI since 2013.

Licensed in
IL
In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

104 Ashland Ave
Mt Zion, IL 62549
Phone: (217) 864-2665
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 125-052745 (IL)

Record details

NPI number1336586114
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacob Sams — Chief Managing Member · (217) 864-2665
NPI enumeratedJune 3, 2013
Last updated in NPPESFebruary 23, 2022
Certification dateFebruary 23, 2022
Mailing address104 Ashland Ave., Mt. Zion, IL 62549

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