Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DOUGLAS CRAIG MAIBENCO, MD PHD
ActiveDOUGLAS CRAIG MAIBENCO, MD PHD is a General Surgery healthcare provider located in DECATUR, Illinois. NPI 1366424061 is currently active in the NPPES registry. Verify at CMS.
General Surgery · DECATUR, IL
Registration Details
- NPI Number
- 1366424061
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 17, 2005 (20.761883479538 yrs)
- Last Updated
- Jan 6, 2022
- License
-
036098825 (IL)
Practice Information
- Address
-
1730 E LAKE SHORE DRDECATUR, IL, 625213809Browse IL providers · Browse ZIP 62521
- Phone
- 2173291000
- Fax
- 2173291055
- Primary Specialty
-
General Surgery
208600000X
Other General Surgery Providers in DECATUR, IL
| Name | Credential | NPI |
|---|---|---|
| JOHN JOSEPH WHITE | MD | 1184606527 |
| MR. H.GALE ZACHEIS | M.D. | 1548246515 |
| DONALD PAUL KAMM | MD | 1225005382 |
| DR. ALBERT F GILMAN IV | M.D. | 1225094436 |
| DR. SCOTT E SHERWOOD | M.D. | 1295791341 |
| CARL PETER BIRK JR. | M.D. | 1386601391 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.