Douglas Craig Maibenco MD PHD

  • NPI 1366424061
According to our database, the NPI number for Douglas Craig Maibenco MD PHD is 1366424061 and activated since 18 years ago. Douglas Craig Maibenco MD PHD is an individual provider who specializes in Surgery, and the primary practice location is 1770 E Lake Shore Dr Ste 105, Decatur, IL 62521. You can also contact Douglas Craig Maibenco MD PHD via telephone number is (217) 329-1000. Provider NPI information was last updated on 12/12/2018.

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Overview of Douglas Craig Maibenco MD PHD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 11/17/2005
  • Last updated: 12/12/2018

Primary Scrop of Practice

  • Taxonomy Code: 208600000X
  • Specialty: Surgery
  • License Number: 036098825
  • License State: IL

Provider Mailing Address

  • Address: 1770 E Lake Shore Dr Ste 105
    Decatur, IL 62521
  • Phone: 217-329-1000
  • Fax: 217-329-1055

Provider Practice Location

  • Address: 1770 E Lake Shore Dr Ste 105
    Decatur, IL 62521
  • Phone: 217-329-1000
  • Fax: 217-329-1055

Scope of Practice

  • Taxonomy Code: 208600000X
  • Specialty: Surgery
  • License Number: 036098825
  • License State: IL
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 036098825
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: IL
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Douglas Craig Maibenco MD PHD?
  • A: The npi number for Douglas Craig Maibenco MD PHD is 1366424061.
  • Q: What are Douglas Craig Maibenco MD PHD's specialties?
  • A: Douglas Craig Maibenco MD PHD's specialties are Surgery and different specialities.
  • Q: What is the medical license for Douglas Craig Maibenco MD PHD?
  • A: The medical license number for Douglas Craig Maibenco MD PHD is 036098825 and issued in IL in USA.
  • Q: Where is Douglas Craig Maibenco MD PHD practice location?
  • A: Douglas Craig Maibenco MD PHD is practicing at 1770 E Lake Shore Dr Ste 105, Decatur, IL 62521.
  • Q: How to contact Douglas Craig Maibenco MD PHD?
  • A: You can contact Douglas Craig Maibenco MD PHD via 217-329-1000.