Lake Shore OB GYN of Decatur S C
Lake Shore OB GYN of Decatur S C is a Specialist in Decatur, Illinois. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
741 W Pershing RdDecatur, IL 62526-1634
Phone: (217) 429-4119
Fax: (217) 429-0108
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X |
|---|
Record details
| NPI number | 1700925583 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Adel Hanna — Owner · (217) 429-4119 |
| NPI enumerated | February 6, 2007 |
| Last updated in NPPES | May 13, 2025 |
| Certification date | May 13, 2025 |
| Mailing address | 1770 E Lake Shore Dr, Suite 303, Decatur, IL 62521-3832 |
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