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Douglas Craig Maibenco, MDPHD
Surgery Physician in Decatur, Illinois
NPI 1366424061

Douglas Craig Maibenco is a Surgery Physician based in Decatur, IL. Douglas Craig Maibenco practices in Decatur, IL and has the professional credentials of MDPHD. The NPI Number for Douglas Craig Maibenco is 1366424061 and holds a License No. 036098825 (Illinois).

The current practice location address for Douglas Craig Maibenco is 1730 E Lake Shore Dr, Decatur, IL and can be reached out via phone at 217-329-1000 and via fax at 217-329-1055.

Location: 1730 E Lake Shore Dr, Decatur, IL, 62521-3809
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366424061
Provider Name
Douglas Craig Maibenco
Credential
MDPHD
Provider Entity Type
Individual
Gender
Male
Address
1730 E Lake Shore Dr, Decatur, IL, 62521-3809
Phone Number
217-329-1000
Fax Number
217-329-1055
Provider Enumeration Date
11/17/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036098825 05 IL
CI8411 01 MEDICARE TRAVELERS
institution
Provider Business Practice Location Address Details
Address
1730 E Lake Shore Dr
City
Decatur
State
Illinois
Zip
62521-3809
Phone Number
217-329-1000
Fax Number
217-329-1055
person
Provider Business Mailing Address Details
Address
1730 E Lake Shore Dr
City
Decatur
State
Illinois
Zip
62521-3809
Phone Number
217-329-1000
Fax Number
217-329-1055
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
-
Taxonomy
208600000X
License No.
036098825 (Illinois)
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
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