ST MARYS HOSPITAL DECATUR OF THE HOSPITAL SISTERS OF THE THIRD ORDER

Physician Assistant

Active Organization
NPI: 1174702708

Practice Address

1900 E LAKE SHORE DR
SUITE 200
Decatur, IL 62521

Phone: (217) 464-1030

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes 085-003034 (IL)

Frequently Asked Questions

NPI 1174702708 is the National Provider Identifier for ST MARYS HOSPITAL DECATUR OF THE HOSPITAL SISTERS OF THE THIRD ORDER, a Physician Assistant provider located in Decatur, IL. This NPI was enumerated on October 31, 2007.

Quick Facts

NPI
1174702708
Type
Organization
Enumerated
Oct 31, 2007
Last Updated
Oct 31, 2024

Nearby Providers