OrganizationActive
Orthopaedic and Rehabilitation Specialists of Central Illinois
NPI 1902989379 · Sports Medicine (Orthopaedic Surgery) Physician · Decatur, IL
Provider details
- NPI number
- 1902989379
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kenneth Tuan, President(217) 877-2088
- License
- 036-109858 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
304 W Hay St
Suite 218
Decatur, IL 62526-6328
Phone: (217) 877-2088
Fax: (217) 877-3622
Approximate (ZIP-level) locationGet directions
Mailing address
304 W Hay St
Decatur, IL 62526-6328
Registry dates
- Enumerated
- 2006-10-22
- Last updated
- 2015-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.