Douglas Craig Maibenco, MDPHD
Douglas Craig Maibenco, MDPHD is a Surgery Physician in Decatur, Illinois. Licensed in Illinois. Registered with an NPI since 2005.
- Licensed in
- IL
- In the registry since
- 2005
Practice location Address checks out
1730 E Lake Shore DrDecatur, IL 62521-3809
Phone: (217) 329-1000
Fax: (217) 329-1055
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Specialties & licences
| Surgery Physician (primary) | Taxonomy 208600000X · Licence 036098825 (IL) |
|---|
Record details
| NPI number | 1366424061 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MDPHD |
| Sole proprietor | No |
| NPI enumerated | November 17, 2005 |
| Last updated in NPPES | January 6, 2022 |
| Certification date | January 6, 2022 |
Other providers in Decatur
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Dr. Albert F Gilman IV, MD
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Aftab Hassan Jafri, MD
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Dr. George Albert Liu, MD
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Dr. Wael Mohammad Otaibi, DO
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Dr. Amrita S Pandit, MD
1730 E Lake Shore Dr, Decatur, IL 62521-3809 · (217) 329-1000
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