# CENTRAL ILLINOIS SURGERY CENTER, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972572964
- **Authorized official:** DR. MARSHALL F BRUSTEIN M.D. (PRESIDENT, BOARD OF DIRECTORS)
- **Authorized official phone:** (217) 872-8204

## Contact information

- **Practice address:** 304 W HAY ST, SUITE 114, DECATUR, IL 62526-6328
- **Practice address phone:** (217) 876-8201
- **Practice address fax:** (217) 876-8202
- **Mailing address:** 304 W HAY ST, SUITE 114, DECATUR, IL 62526-6328
- **Mailing address phone:** (217) 876-8201
- **Mailing address fax:** (217) 876-8202

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 7002819 | IL | Yes |

## Other

- **Enumeration date:** 03/14/2006
- **Last updated:** 08/22/2020