Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Orthopaedic and Rehabilitation Specialists of Central Illinois

Organization Sports Medicine (Orthopaedic Surgery) Physician · NPI 1902989379

Orthopaedic and Rehabilitation Specialists of Central Illinois provides Sports Medicine (Orthopaedic Surgery) Physician services in Decatur, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
Specialties on file
2

Practice location Address checks out

304 W Hay St Ste 218
Decatur, IL 62526-6328 Not confirmed with CMS for 11 years — call before visiting
Phone: (217) 877-2088
Fax: (217) 877-3622
Show map & directions

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

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X · Licence 036-109943 (IL)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence 036-109858 (IL)

Record details

NPI number1902989379
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Tuan — President · (217) 877-2088
NPI enumeratedOctober 22, 2006
Last updated in NPPESApril 21, 2015
Mailing address304 W Hay St, Suite 218, Decatur, IL 62526-6328

Other providers in Decatur