OrganizationActive
Decatur Orthopedic Center, LLC
NPI 1720736002 · Non-Pharmacy Dispensing Site · Mt Zion, IL
Provider details
- NPI number
- 1720736002
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Organization subpart
- No
- Authorized official
- Kristin Sams, Finance Director(217) 864-2665
Specialties & taxonomies
Suppliers
Practice location
104 E Ashland Ave
Mt Zion, IL 62549-1271
Phone: (217) 864-2665
Approximate (ZIP-level) locationGet directions
Mailing address
104 E Ashland Ave
Mt Zion, IL 62549-1271
Registry dates
- Enumerated
- 2022-03-15
- Last updated
- 2022-03-15
- Certified
- 2022-03-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.