Organization
MIDWEST OBGYN & INFERTILITY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIDYA SAGAR RAO MORISETTY M.D. (OWNER)
(217) 875-1886
Entity
Organization
Contact information
Practice address
675 E SNYDER DR STE 1, DECATUR, IL 62526-4766
(217) 875-1886
(217) 875-3120
Mailing address
675 E SNYDER DR STE 1, DECATUR, IL 62526-4766
(217) 875-1886
(217) 875-3120
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036084779
IL
Other
Enumeration date
08/03/2012
Last updated
07/17/2014
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