Lake Shore Ob Gyn of Decatur S C

NPI #1700925583 in Decatur, Illinois

Provider Information

NPI Number
1700925583
Entity Type
Organization
Organization Name
Lake Shore Ob Gyn of Decatur S C
Primary Specialty
Specialist
Enumeration Date
Feb 6, 2007
Last Updated
May 13, 2025

Practice Location

Address
741 W PERSHING RD
ZIP Code
62526-1634
Phone
(217) 429-4119

Authorized Official

Name
DR. ADEL SAMY HANNA, M.D.
Title
OWNER
Phone
(217) 429-4119

Specialties & Taxonomy Codes

Specialty
Specialist

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