LAKE SHORE OB GYN OF DECATUR S C

Specialist

Active Organization
NPI: 1700925583

Practice Address

741 W PERSHING RD
Decatur, IL 62526

Phone: (217) 429-4119

Specialties

Specialty Code Primary License
Specialist 174400000X Yes -

Frequently Asked Questions

NPI 1700925583 is the National Provider Identifier for LAKE SHORE OB GYN OF DECATUR S C, a Specialist provider located in Decatur, IL. This NPI was enumerated on February 6, 2007.

Quick Facts

NPI
1700925583
Type
Organization
Enumerated
Feb 6, 2007
Last Updated
May 13, 2025

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