St Marys Hospital Decatur of the Hospital Sisters of the Third Order

NPI #1043486731 in Decatur, Illinois

Provider Information

NPI Number: 1043486731
Entity Type: Organization
Organization Name: St Marys Hospital Decatur of the Hospital Sisters of the Third Order
Primary Specialty: Urology
Enumeration Date: May 2, 2008
Last Updated: Oct 31, 2024

Practice Location

Address: 1770 E LAKE SHORE DR
Address 2: SUITE 202
City: Decatur
State: Illinois
ZIP Code: 62521-3832
Phone: (217) 464-2505

Authorized Official

Name: MARK D EVARD
Title: VP OF REVENUE CYCLE
Phone: (217) 492-9651

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

Similar Providers

Individual Providers

Provider Name	Specialty	City
MR. Lee G Endsley, MD	Urology	Decatur	AI Deep Dive
DR. Jeffrey R. Canham, M.D.	Urology	Decatur	AI Deep Dive
DR. Randy K Sulaver II, M.D.	Urology	Decatur	AI Deep Dive
DR. Adiraju Palagiri, MD	Urology	Marion	AI Deep Dive

Organizations

Provider Name	Specialty	City
Urology Assoc of Decatur Ltd	Urology	Decatur	AI Deep Dive

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