Individual
DR. NICHOLAS A SARROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2300 N EDWARD ST, DECATUR, IL 62526-4163
(217) 876-8121
Mailing address
PO BOX 25137, DECATUR, IL 62525-5137
(800) 897-6169
(800) 897-6170
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036-083726
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-083726
—
IL
01
—
036083726
BC OF IL
IL
Enumeration date
01/12/2006
Last updated
04/05/2017
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