Organization
ORTHOPAEDIC AND REHABILITATION SPECIALISTS OF CENTRAL ILLINOIS
Active
Organization
ORTHOPAEDIC AND REHABILITATION SPECIALISTS OF CENTRAL ILLINOIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH TUAN M.D. (PRESIDENT)
(217) 877-2088
Entity
Organization
Contact information
Practice address
304 W HAY ST, SUITE 218, DECATUR, IL 62526-6328
(217) 877-2088
(217) 877-3622
Mailing address
304 W HAY ST, SUITE 218, DECATUR, IL 62526-6328
(217) 877-2088
(217) 877-3622
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
036-109943
IL
208100000X
Physical Medicine & Rehabilitation Physician
036-109858
IL
Other
Enumeration date
10/22/2006
Last updated
04/21/2015
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