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

Surgical Specialists of Central Illinois SC

Organization Surgery Physician · NPI 1760464481

Surgical Specialists of Central Illinois SC provides Surgery Physician services in Decatur, Illinois. Licensed in Illinois. Registered with an NPI since 2005.

Licensed in
IL
In the registry since
2005
Specialties on file
2

Practice location Address checks out

1750 E Lake Shore Dr Ste 200
Decatur, IL 62521-3809 Not confirmed with CMS for 18 years — call before visiting
Phone: (217) 428-6300
Fax: (217) 428-6322
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X (IL)
Vascular Surgery Physician Taxonomy 2086S0129X (IL)

Record details

NPI number1760464481
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John White — President · (217) 428-6300
NPI enumeratedNovember 17, 2005
Last updated in NPPESNovember 23, 2007
Mailing address1750 E Lake Shore Dr, Ste 200, Decatur, IL 62521-3809

Other providers in Decatur