OrganizationActive
Surgical Specialists of Central Illinois Sc
NPI 1760464481 · Surgery Physician · Decatur, IL
Provider details
- NPI number
- 1760464481
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- John White, President(217) 428-6300
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Vascular Surgery Physician2086S0129X
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1750 E Lake Shore Dr
Ste 200
Decatur, IL 62521-3809
Phone: (217) 428-6300
Fax: (217) 428-6322
Street-level locationGet directions
Mailing address
1750 E Lake Shore Dr
Decatur, IL 62521-3809
Registry dates
- Enumerated
- 2005-11-17
- Last updated
- 2007-11-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.