OrganizationActive
Central Illinois Surgery Center, LLC
NPI 1972572964 · Ambulatory Surgical Clinic/Center · Decatur, IL
Provider details
- NPI number
- 1972572964
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Marshall Brustein, President, Board of Directors(217) 872-8204
- License
- 7002819 (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
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
304 W Hay St
Suite 114
Decatur, IL 62526-6328
Phone: (217) 876-8201
Fax: (217) 876-8202
Street-level locationGet directions
Mailing address
304 W Hay St
Decatur, IL 62526-6328
Registry dates
- Enumerated
- 2006-03-14
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.