SURGICAL SPECIALISTS OF CENTRAL ILLINOIS SC
NPI 1760464481
Surgery in Decatur, IL

Q: What is Surgical Specialists Of Central Illinois Sc's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since November 17, 2005

1750 E LAKE SHORE DR, STE 200, DECATUR, IL 62521(217) 428-6300(217) 428-6322 Get Directions Write a Review

NPPES record last updated: November 23, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Surgical Specialists Of Central Illinois Sc NPPES

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

SURGICAL SPECIALISTS OF CENTRAL ILLINOIS SC (NPI 1760464481) is a healthcare organization registered as a surgery in Decatur, Illinois and active in the NPI registry since November 2005. The organization lists John Joseph White, President, as its authorized official.

NPPES Registry Identity

NPI1760464481

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameSURGICAL SPECIALISTS OF CENTRAL ILLINOIS SC

Location Address1750 E LAKE SHORE DR, STE 200Decatur, IL 62521-3809

Mailing Address1750 E Lake Shore Dr, Ste 200Decatur, IL 62521-3809 · (217) 428-6300 · Fax (217) 428-6322

Phone(217) 428-6300

Fax(217) 428-6322

Organization SubpartNo

Authorized OfficialJohn Joseph WhitePresident · (217) 428-6300

Enumeration DateNovember 17, 2005

Last NPPES UpdateNovember 23, 2007

✔ NPI 1760464481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X

1750 E LAKE SHORE DR, Decatur, IL 62521

Open in Google Maps ↗

Other Identifiers 1

OtherCI8411Medicare Travelers

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 15

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

JATOI CLINIC, LTD.

Medical Genetics, Ph.D. Medical Genetics

1750 E LAKE SHORE DR, SUITE 100
DECATUR, IL 62521

Macon County (217) 464-2505

JOHN JOSEPH WHITE MD

Surgery

1750 E LAKE SHORE DR, STE 200
DECATUR, IL 62521

Macon County (217) 428-6300

VIKRAM S KOTWAL M.D

Internal Medicine (Gastroenterology)

1750 E LAKE SHORE DR, SUITE 310
DECATUR, IL 62521

Macon County (217) 464-1220

DR. KEITH LEWIS FABRIQUE MD

Preventive Medicine (Occupational Medicine)

1750 E LAKE SHORE DR, LOWER LEVEL
DECATUR, IL 62521

Macon County (217) 425-2732

ANTONIANNETTE PATE FNP-C

Nurse Practitioner (Family)

1750 E LAKE SHORE DR
DECATUR, IL 62521

Macon County (217) 464-1440

DR. JON FREDRICK PETERSEN M.D.

Preventive Medicine (Occupational Medicine)

1750 E LAKE SHORE DR
DECATUR, IL 62521

Macon County (217) 464-1440

EMILYE JESSICA GRANT PHYSICIAN ASSISTANT

Physician Assistant

1750 E LAKE SHORE DR
DECATUR, IL 62521

Macon County (217) 464-1750

DR. VIKRAM BARPUJARI M.D.

Internal Medicine (Gastroenterology)

1750 E LAKE SHORE DR, SUITE 310
DECATUR, IL 62521

Macon County (217) 464-1220

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 Surgical Specialists Of Central Illinois Sc's NPI number?

The NPI number for Surgical Specialists Of Central Illinois Sc is 1760464481. It was assigned to this organization in the NPPES registry on November 17, 2005.

Where is Surgical Specialists Of Central Illinois Sc located?

Surgical Specialists Of Central Illinois Sc is located at 1750 E Lake Shore Dr Ste 200, Decatur, IL 62521. The listed phone number is (217) 428-6300.

What is Surgical Specialists Of Central Illinois Sc's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Surgical Specialists Of Central Illinois Sc was last updated on November 23, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.