Organization Name: | DECATUR OBGYN ASSOCIATES, LLC |
NPI Number: | 1396897526 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROY TSUDA (VICE PRESIDENT) |
Mailing Address: | 1 Memorial Dr Suite 300 Decatur |
State: | IL US |
Postal Code: | 625266303 |
Phone Number: | 2178755545 |
Fax Number: | |
NPI Enumeration Date: | 01/17/2007 |
NPI Last Update Date: | 08/07/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 036072402 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |