1. Home
  2. Directory
  3. Illinois
  4. Decatur
  5. Dentist
  6. NPI Profile

DECATUR 2015 LLC
NPI 1417210857
Dentist - General Practice in Decatur, IL

Active since June 20, 2012
141 E PERSHING RD, DECATUR, IL 62526(888) 988-4066(847) 496-7603 Get Directions Write a Review

NPPES record last updated: June 20, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Decatur 2015 Llc NPPES

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

DECATUR 2015 LLC (NPI 1417210857) is a healthcare organization registered as a general practice in Decatur, Illinois and active in the NPI registry since June 2012. The organization lists Koushan Azad, President, as its authorized official.

NPPES Registry Identity

NPI1417210857
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDECATUR 2015 LLC
Location Address141 E PERSHING RDDecatur, IL 62526-3213
Mailing Address2050 E Algonquin Rd, Suite610Schaumburg, IL 60173-4144 · (888) 988-4066 · Fax (847) 496-7603
Phone(888) 988-4066
Fax(847) 496-7603
Organization SubpartNo
Authorized OfficialKoushan AzadPresident · (888) 988-4066
Enumeration DateJune 20, 2012
✔ NPI 1417210857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
141 E PERSHING RD, Decatur, IL 62526
Open in Google Maps ↗

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 8

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

DECATUR 2014
Dentist (General Practice)
141 E PERSHING RD, SUITE 610
DECATUR, IL 62526
Macon County (888) 988-4066
YOUNGTAK CHI DDS
Dentist (General Practice)
141 E PERSHING RD
DECATUR, IL 62526
Macon County (888) 988-4066
DECATUR 2012 LLC
Clinic/Center (Dental)
141 E PERSHING RD
DECATUR, IL 62526
Macon County (888) 988-4066
KYOUNG YUN LEE D.D.S
Dentist
141 E PERSHING RD
DECATUR, IL 62526
Macon County (217) 877-6559
YASHVI FALGUNI DESAI
Student in an Organized Health Care Education/Training Program
141 E PERSHING RD
DECATUR, IL 62526
Macon County (424) 407-6732
DECATUR 2013 LLC
Dentist (General Practice)
141 E PERSHING RD
DECATUR, IL 62526
Macon County (888) 988-4066
ISSA SAHOURI
Dentist
141 E PERSHING RD
DECATUR, IL 62526
Macon County (217) 877-6559
ELIZABETH MOORE DMD
Dentist
141 E PERSHING RD
DECATUR, IL 62526
Macon County (888) 988-4066

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 Decatur 2015 LLC's NPI number?

The NPI number for Decatur 2015 LLC is 1417210857. It was assigned to this organization in the NPPES registry on June 20, 2012.

Where is Decatur 2015 LLC located?

Decatur 2015 LLC is located at 141 E Pershing Rd, Decatur, IL 62526. The listed phone number is (888) 988-4066.

What is Decatur 2015 LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Decatur 2015 LLC was last updated on June 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.