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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