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 a Neurological Surgery Physician in Decatur, Illinois. Licensed in Illinois. Registered with an NPI since 2007.
- Licensed in
- IL
- In the registry since
- 2007
Practice location Address checks out
1750 E Lake Shore Dr Ste LL2Decatur, IL 62521-3803
Phone: (217) 422-0210
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Neurological Surgery Physician (primary) | Taxonomy 207T00000X · Licence 036078656 (IL) |
|---|
Record details
| NPI number | 1639362155 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mark Evard — Vp Of Revenue Cycle · (217) 492-9651 |
| NPI enumerated | August 20, 2007 |
| 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. Oliver N Dold, MD
2 Memorial Dr Ste 207, Decatur, IL 62526-3950 · (217) 876-2780
-
Dr. Robert R Kraus Jr., MD
2 Memorial Dr Ste 207, Decatur, IL 62526-3950 · (217) 876-2780