St Marys Hospital Decatur of the Hospital Sisters of the Third Order
St Marys Hospital Decatur of the Hospital Sisters of the Third Order provides Neurological Surgery Physician services 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