Individual
DR. THOMAS ROBERT DEKOJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1750 E LAKE SHORE DRIVE, SUITE 200, DECATUR, IL 62521-3806
(217) 428-6300
(217) 428-6322
Mailing address
1750 E LAKE SHORE DRIVE, SUITE 200, DECATUR, IL 62521-3806
(217) 428-6300
(217) 428-6322
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036126490
IL
208C00000X
Colon & Rectal Surgery Physician
261007
NY
Other
Enumeration date
06/09/2007
Last updated
08/30/2012
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