Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ST MARYS HOSPITAL DECATUR OF THE HOSPITAL SISTERS OF THE THIRD ORDER
Active OrganizationST MARYS HOSPITAL DECATUR OF THE HOSPITAL SISTERS OF THE THIRD ORDER is a Physician Assistant organization located in DECATUR, Illinois. NPI 1174702708 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · DECATUR, IL
Registration Details
- NPI Number
- 1174702708
- Provider Type
- Organization
- NPI Issued
- Oct 31, 2007 (18.749718954037 yrs)
- Last Updated
- Oct 31, 2024
- License
-
085-003034 (IL)
Practice Information
- Address
-
1900 E LAKE SHORE DRSUITE 200DECATUR, IL, 625213824Browse IL providers · Browse ZIP 62521
- Phone
- 2174641030
- Fax
- 2174641039
- Primary Specialty
-
Physician Assistant
363A00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.