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

Millikin University

Organization Internal Medicine Physician · NPI 1164176863

Millikin University is an Internal Medicine Physician in Decatur, Illinois. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

1184 W Main St
Decatur, IL 62522-2039
Phone: (972) 367-4845
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1164176863
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mouzon Bass — Administrator/Agent · (972) 367-4845
Other names Millikin University Athletics
NPI enumeratedFebruary 10, 2022
Last updated in NPPESFebruary 10, 2022
Certification dateFebruary 10, 2022
Mailing address15305 Dallas Pkwy Ste 800, Addison, TX 75001-6415

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