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

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 provides Family Medicine Physician services in Decatur, Illinois. Registered with an NPI since 2008.

In the registry since
2008
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Practice location Address checks out

1800 E Lake Shore Dr Ste T303
Decatur, IL 62521-3810
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

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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