Individual
SEBASTIEN SIMON KAIROUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
210 W MCKINLEY AVE, SUITE 1, DECATUR, IL 62526-5858
(217) 877-9442
(217) 233-1670
Mailing address
210 W MCKINLEY AVE, SUITE 1, DECATUR, IL 62526-5858
(217) 877-9442
(217) 233-1670
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
036128725
IL
207RH0003X
Hematology & Oncology Physician
D0067931
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
218702700
—
MD
Enumeration date
04/21/2006
Last updated
02/12/2014
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