St Marys Hospital Decatur of the Hospital Sisters of the Third Order
St Marys Hospital Decatur of the Hospital Sisters of the Third Order is an Urology Physician in Decatur, Illinois. Registered with an NPI since 2008.
- In the registry since
- 2008
Practice location Address checks out
1770 E Lake Shore Dr Ste 202Decatur, IL 62521-3832
Phone: (217) 464-2505
Fax: (217) 464-1669
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Urology Physician (primary) | Taxonomy 208800000X |
|---|
Record details
| NPI number | 1043486731 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mark Evard — Vp Of Revenue Cycle · (217) 492-9651 |
| Other names | Lake Shore Urology At St. Mary'S; Lake Shore Urology At St. Mary'S |
| NPI enumerated | May 2, 2008 |
| Last updated in NPPES | October 31, 2024 |
| Certification date | October 31, 2024 |
| Mailing address | 3051 Hollis Dr, Springfield, IL 62704-7450 |
Other providers in Decatur
-
Dr. Jeffrey R. Canham, MD
302 W Hay St Ste 200, Decatur, IL 62526-4167 · (217) 877-8925
-
Mr. Lee G Endsley, MD
302 W Hay St Ste 200, Decatur, IL 62526-4167 · (217) 877-8925
-
Dr. Randy K Sulaver II, MD
302 W Hay St Ste 200, Decatur, IL 62526-4171 · (217) 545-8000
-
Thomas H Tarter, MD
210 W McKinley Ave Ste 1, Decatur, IL 62526-5858 · (217) 876-6600
-
Urology Assoc of Decatur Ltd
302 W Hay St Ste 200, Decatur, IL 62526 · (217) 877-8925