IndividualActive
Edward Elliott, MD
NPI 1790748119 · Radiation Oncology Physician · Decatur, IL
Provider details
- NPI number
- 1790748119
- Entity type
- Individual
- Primary specialty
- Radiation Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 036-078735 (IL)
Practice location
210 W. Mckinley Ave
Ste 1
Decatur, IL 62526
Phone: (217) 876-6600
Fax: (217) 876-6606
Mailing address
210 W. Mckinley Ave
Decatur, IL 62526
Registry dates
- Enumerated
- 2006-04-07
- Last updated
- 2015-07-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.