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

St Marys Hospital Decatur of the Hospital Sisters of the Third Order

Organization Family Medicine Physician · NPI 1215108139

St Marys Hospital Decatur of the Hospital Sisters of the Third Order is a Family Medicine Physician in Decatur, Illinois. Registered with an NPI since 2008.

In the registry since
2008

Practice location Address checks out

1800 E Lake Shore Dr Ste T303
Decatur, IL 62521-3810
Phone: (217) 464-2505
Fax: (217) 464-1669
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1215108139
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Evard — Vp Of Revenue Cycle · (217) 492-9651
Other names St. Mary Hospital Preferred Professionals; St. Mary Hospital Preferred Professionals
NPI enumeratedMarch 19, 2008
Last updated in NPPESOctober 31, 2024
Certification dateOctober 31, 2024
Mailing address3051 Hollis Dr, Springfield, IL 62704-7450

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