John Chris Kefalas in Decatur - Sports Medicine
John Chris Kefalas - NPI 1386832855
John Chris Kefalas is a Sports Medicine in Decatur, Illinois. John Chris Kefalas practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for John Chris Kefalas is 1386832855. The last update date is 2017-02-13.
John Chris Kefalas's current location address is 2905 N Main St, Decatur, Illinois. You can contact this provider via phone number 2174252600 and fax number 2174252900. The mailing address for John Chris Kefalas is 2905 N Main St, Decatur, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Chris Kefalas |
|---|---|
| Address | 2905 N Main St, Decatur, Illinois |
| Phone Number | 2174252600 |
| Fax Number | 2174252900 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1386832855 |
|---|---|
| Provider Enumeration Date | 2007-10-10 |
| Last Updated Date | 2017-02-13 |
Provider Mailing Address Detail
| Address | 2905 N Main St |
|---|---|
| City | Decatur |
| State | Illinois (IL) |
| Post Code | 625264276 |
| Phone Number | 2174252600 |
| Fax Number | 2174252900 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Xx0005X |
| Licence No | 36094691 |
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Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36-094691 | IL | -- |
Post Comment/ Review Below
What is the John Chris Kefalas's 1386832855?
The John Chris Kefalas's NPI (National Provider Identifier) Number is 1386832855. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where John Chris Kefalas is physically located?
The John Chris Kefalas is physically situated at the following address: 2905 N Main St, Decatur, IL, 625264276.
What is the John Chris Kefalas's area of specialization and corresponding taxonomy classification?
The John Chris Kefalas's specialty field is Sports Medicine, and it falls under the taxonomy code 207Xx0005X, which categorizes healthcare providers based on their specialties.
When did the John Chris Kefalas receive its 1386832855?
The John Chris Kefalas was issued its 1386832855 on 2007-10-10, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to John Chris Kefalas last refreshed?
The information related to the John Chris Kefalas, including its address, specialty, and other relevant details, was last updated on 2017-02-13.
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