Organization · Type 2 NPI

ST Marys Hospital Decatur of the Hospital Sisters of the Third Order

Physician Assistant · Decatur, IL

NPI number 1174702708 Active

Practice location

1900 E Lake Shore Dr, Suite 200
Decatur, IL 62521-3824

Fax (217) 464-1039

Mailing address

3051 Hollis Dr
Springfield, IL 62704-7450

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X085-003034 (IL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

15 other providers at this address

About NPI 1174702708

ST Marys Hospital Decatur of the Hospital Sisters of the Third Order's National Provider Identifier is 1174702708, issued on Oct 31, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Decatur, IL. The record was last updated on Oct 31, 2024.