Individual
MANOJ KOHLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1730 E LAKE SHORE DR, DECATUR, IL 62521-3809
(217) 329-1000
(217) 329-1055
Mailing address
1730 E LAKE SHORE DR, DECATUR, IL 62521-3809
(217) 329-1000
(217) 329-1055
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
036127290
IL
207RR0500X
Rheumatology Physician
35622
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64-021496
—
KY
Enumeration date
08/09/2006
Last updated
02/17/2026
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