Individual provider · Type 1 NPI

Wael Mohammad Otaibi, DO

Surgery Physician · Decatur, IL

NPI number 1255452124 Active

Practice location

1770 E Lake Shore Dr Ste 105
Decatur, IL 62521-3800

Call (217) 329-1000 Map

Fax (217) 329-1055

Mailing address

3051 Hollis Dr Fl 2
Springfield, IL 62704-7452

Other practice locations

  • 207 S Pine St, Shelbyville, IL 62565-1749 · (217) 464-1200
  • 1050 Isaac Streets Dr, Suite 134, Oregon, OH 43616-3291 · (419) 720-2242

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000X254927 (NY)
Surgery Physician 208600000X5101015634 (MI)
Surgery Physician 208600000X34.011232 (OH)
Surgery Physician Primary 208600000X036150787 (IL)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1255452124

Wael Mohammad Otaibi, DO's National Provider Identifier is 1255452124, issued on Apr 2, 2007. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Decatur, IL. The record was last updated on Nov 15, 2019.