Individual
JOAO MANOEL DA SILVEIRA LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2300 N EDWARD ST STE 3200, DECATUR, IL 62526-4192
(217) 876-3660
(217) 876-3665
Mailing address
2300 N EDWARD ST STE 3200, DECATUR, IL 62526-4192
(217) 876-3660
(217) 876-3665
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036173646
IL
207R00000X
Internal Medicine Physician
MT227003
PA
Other
Enumeration date
10/03/2022
Last updated
08/08/2025
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