Organization · Type 2 NPI

Surgical Specialists of Central Illinois SC

Surgery Physician · Decatur, IL

NPI number 1760464481 Active

Practice location

1750 E Lake Shore Dr, Ste 200
Decatur, IL 62521-3809

Call (217) 428-6300 Map

Fax (217) 428-6322

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000XNone listed
Vascular Surgery Physician 2086S0129XNone listed

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 1760464481

Surgical Specialists of Central Illinois SC's National Provider Identifier is 1760464481, issued on Nov 17, 2005. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Decatur, IL. The record was last updated on Nov 23, 2007.