SURGICAL SPECIALISTS OF CENTRAL ILLINOIS SC – Surgery Physician, NPI 1760464481

SURGICAL SPECIALISTS OF CENTRAL ILLINOIS SC is a healthcare provider. based in Decatur, Illinois. specializing in Surgery Physician. The NPI Number for SURGICAL SPECIALISTS OF CENTRAL ILLINOIS SC is 1760464481

Main info

Organization
Name
SURGICAL SPECIALISTS OF CENTRAL ILLINOIS SC
NPI
1760464481
Phone
(217) 428-6300
Address
1750 E LAKE SHORE DR
Authorized Official
JOHN JOSEPH WHITE PRESIDENT MD
Enumeration Date
17 November 2005
Last Update Date
23 November 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:20State licenses:0Digital endpointsOther names

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Provider Addresses for SURGICAL SPECIALISTS OF CENTRAL ILLINOIS SC

  • East Lake Shore Drive, Mueller Park, Decatur, Macon County, Illinois, 62525, United States

    STE 200

    DECATUR, IL 625213809

    Phone: (217) 428-6300

    Fax: (217) 428-6322

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62521)

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Reviews

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Frequently asked questions

Is there an official ID for SURGICAL SPECIALISTS OF CENTRAL ILLINOIS SC in U.S. healthcare records?
The official identifier for SURGICAL SPECIALISTS OF CENTRAL ILLINOIS SC is NPI 1760464481.
Is there an active status for SURGICAL SPECIALISTS OF CENTRAL ILLINOIS SC?
For scheduling context, SURGICAL SPECIALISTS OF CENTRAL ILLINOIS SC is shown as active in the registry.
How would a patient describe SURGICAL SPECIALISTS OF CENTRAL ILLINOIS SC's focus?
For SURGICAL SPECIALISTS OF CENTRAL ILLINOIS SC, the primary taxonomy reads as Surgery Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for SURGICAL SPECIALISTS OF CENTRAL ILLINOIS SC?
Travel planning: use Decatur, Illinois as the reference point for SURGICAL SPECIALISTS OF CENTRAL ILLINOIS SC, then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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