Individual provider · Type 1 NPI

Ista Ariane Egbeto, MD

Dermatology Physician · Decatur, IL

NPI number 1962080754 Active

Practice location

2 Memorial Dr Fl 1
Decatur, IL 62526-3950

Fax (217) 872-2979

Mailing address

PO Box 19639
Springfield, IL 62794-9639

Other practice locations

  • 680 Centre St, Brockton, MA 02302-3308 · (240) 273-6219

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician Primary 207N00000X036174078 (IL)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Dermatology Physician: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis an…

4 other providers at this address

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About NPI 1962080754

Ista Ariane Egbeto, MD's National Provider Identifier is 1962080754, issued on Apr 1, 2021. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in Decatur, IL. The record was last updated on Nov 24, 2025.