Search › Illinois › Surgery Physician
Douglas Maibenco, MD PHD
NPI 1366424061 · on the registry since 2005
Practice
- Address
- 1730 E Lake Shore Dr
Decatur, IL 62521 - Phone
- (217) 329-1000
- Fax
- (217) 329-1055
- Clinicians at this address
- 13
Registry record
- Primary taxonomy
- Surgery Physician
208600000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-01-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois