Central Illinois Surgery Center, LLC

NPI #1972572964 in Decatur, Illinois

Provider Information

NPI Number
1972572964
Entity Type
Organization
Organization Name
Central Illinois Surgery Center, LLC
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Mar 14, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
304 W HAY ST
Address 2
SUITE 114
ZIP Code
62526-6328
Phone
(217) 876-8201

Authorized Official

Name
DR. MARSHALL F BRUSTEIN, M.D.
Title
PRESIDENT, BOARD OF DIRECTORS
Phone
(217) 872-8204

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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