Organization · Type 2 NPI
ST Marys Hospital Decatur of the Hospital Sisters of the Third Order
Neurological Surgery Physician · Decatur, IL
Practice location
1750 E Lake Shore Dr, Suite LL2
Decatur, IL 62521-3803
Mailing address
3051 Hollis Dr
Springfield, IL 62704-7450
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neurological Surgery Physician Primary | 207T00000X | 036078656 (IL) |
Neurological Surgery Physician: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the opera…
15 other providers at this address
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- Surgical Specialists of Central Illinois SCSurgery Physician Decatur, IL NPI 1760464481
- Adills Moosa, DOOccupational Medicine Physician Decatur, IL NPI 1932527017
- Alyson Webb, NPFamily Nurse Practitioner Decatur, IL NPI 1992182331
- Antoniannette Pate, FNP-CFamily Nurse Practitioner Decatur, IL NPI 1265947451
- Chinelo C. Echeazu, MDObstetrics & Gynecology Physician Decatur, IL NPI 1922319839
- David W. Haymes Jr., MDPlastic Surgery Physician Decatur, IL NPI 1508993502
- Emilye Jessica Grant, PHYSICIAN ASSISTANTPhysician Assistant Decatur, IL NPI 1396721189
- Jason Blanchetti, NPNurse Practitioner Decatur, IL NPI 1578093225
- John Joseph White, MDSurgery Physician Decatur, IL NPI 1184606527
- Jon Fredrick Petersen, MDOccupational Medicine Physician Decatur, IL NPI 1285621516
- Keith Lewis Fabrique, MDOccupational Medicine Physician Decatur, IL NPI 1225196710
About NPI 1639362155
ST Marys Hospital Decatur of the Hospital Sisters of the Third Order's National Provider Identifier is 1639362155, issued on Aug 20, 2007. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in Decatur, IL. The record was last updated on Oct 31, 2024.