Decatur Orthopedic Center, Llc
Decatur Orthopedic Center, Llc is a health care provider in Mt. Zion, IL. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location|| 104 Ashland Ave., Mt. Zion, IL 62549, US |
|Practice Location Phone||217-864-2665|
|Practice Location Fax|
|Legal Business Name||DECATUR ORTHOPEDIC CENTER, LLC|
|Enumeration Date ? ||Jun 3, 2013|
|Last Update Date ? ||Jul 18, 2013|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
Specialties & Licenses of Decatur Orthopedic Center, Llc
|Specialty||Provider Type||Specialization||License||License State|
|Orthopaedic Surgery||Allopathic & Osteopathic Physicians|| ||125-052745||Illinois|
Legacy Provider IDs of Decatur Orthopedic Center, Llc
|Provider Id||Issuer State||Issuer Type||Issuer|
Authorized Official of Decatur Orthopedic Center, Llc
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Decatur Orthopedic Center, Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official ||Dr. Donald N. Sullivan (MD)|
|Authorized Official Title/Position||CHIEF MANAGING MEMBER|
|Authorized Official Phone Number||217-864-2665|