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LAUREL A WALTON DO SC
NPI 1063797108
Obstetrics & Gynecology in Decatur, IL

Active since October 20, 2011
1770 E LAKE SHORE DR, STE 309, DECATUR, IL 62521(217) 422-9740(217) 422-7813 Get Directions Write a Review

NPPES record last updated: July 23, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Laurel A Walton Do Sc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAUREL A WALTON DO SC (NPI 1063797108) is a healthcare organization registered as an obstetrics & gynecology in Decatur, Illinois and active in the NPI registry since October 2011. The organization lists Laurel A Walton, Owner, as its authorized official.

NPPES Registry Identity

NPI1063797108
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameLAUREL A WALTON DO SC
Location Address1770 E LAKE SHORE DR, STE 309Decatur, IL 62521-3832
Mailing Address1770 E Lake Shore Dr, Ste 309Decatur, IL 62521-3832 · (217) 422-9740 · Fax (217) 422-7813
Phone(217) 422-9740
Fax(217) 422-7813
Organization SubpartNo
Authorized OfficialLaurel A WaltonOwner · (217) 422-9740
Enumeration DateOctober 20, 2011
Last NPPES UpdateJuly 23, 2012
✔ NPI 1063797108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in IL · 036082675
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.
1770 E LAKE SHORE DR, Decatur, IL 62521
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Other Identifiers 2

Medicare OSCAR/certificationDS5862IL
Medicare PINIL6614IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ST MARYS HOSPITAL DECATUR OF THE HOSPITAL SISTERS OF THE THIRD ORDER
Urology
1770 E LAKE SHORE DR, SUITE 202
DECATUR, IL 62521
Macon County (217) 464-2505
DR. AHMAD H AHMAD M.D.
Internal Medicine
1770 E LAKE SHORE DR, SUITE 201
DECATUR, IL 62521
Macon County (217) 428-7921
DEBRA G. CHARVERON LCPC
Counselor (Professional)
1770 E LAKE SHORE DR
DECATUR, IL 62521
Macon County (217) 429-9700
AZHAR ASLAM MD LLC
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
1770 E LAKE SHORE DR, SUITE 103
DECATUR, IL 62521
Macon County (217) 422-9036
MS. KAREN L HAMMOND MSW LCSW
Social Worker (Clinical)
1770 E LAKE SHORE DR, SUITE 209
DACATUR, IL 62521
Macon County (217) 428-0600
DECATUR PEDIATRIC CLINIC
Pediatrics
1770 E LAKE SHORE DR
DECATUR, IL 62521
Macon County (217) 423-8800
DECATUR HEALTHCARE LLC
Clinic/Center (Ambulatory Surgical)
1770 E LAKE SHORE DR
DECATUR, IL 62521
Macon County (217) 424-1021
JAMIE SUE WARNICK MD
Pediatrics
1770 E LAKE SHORE DR
DECATUR, IL 62521
Macon County (217) 423-8800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Laurel A Walton Do Sc's NPI number?

The NPI number for Laurel A Walton Do Sc is 1063797108. It was assigned to this organization in the NPPES registry on October 20, 2011.

Where is Laurel A Walton Do Sc located?

Laurel A Walton Do Sc is located at 1770 E Lake Shore Dr Ste 309, Decatur, IL 62521. The listed phone number is (217) 422-9740.

What is Laurel A Walton Do Sc's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Laurel A Walton Do Sc was last updated on July 23, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.