Home » Illinois » 62549 » Decatur Orthopedic Center, Llc

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.

physician-icon Basic Information

Practice Location 104 Ashland Ave., Mt. Zion, IL 62549, US
Practice Location Phone217-864-2665
Practice Location Fax
Legal Business NameDECATUR ORTHOPEDIC CENTER, LLC
NPI ?1336586114
Entity TypeOrganization
Enumeration Date ? Jun 3, 2013
Last Update Date ? Jul 18, 2013
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Decatur Orthopedic Center, Llc

SpecialtySpecializationLicenseLicense State
Orthopaedic Surgery 125-052745Illinois

legacy-id-icon Legacy Provider IDs of Decatur Orthopedic Center, Llc

Provider IdIssuer StateIssuer TypeIssuer
1154511517IllinoisOtherINDIVIDUAL NPI
1730340498IllinoisOtherINDIVIDUAL NPI

official-icon 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/PositionCHIEF MANAGING MEMBER
Authorized Official Phone Number217-864-2665