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Nada Lygrisse, DO
Obstetrics & Gynecology Physician in Decatur, Illinois
NPI 1871919134

Nada Lygrisse is a Obstetrics & Gynecology Physician based in Springfield, IL. Nada Lygrisse practices in Decatur, IL and has the professional credentials of DO. The NPI Number for Nada Lygrisse is 1871919134 and holds a License No. 34.013540 (Illinois).

The current practice location address for Nada Lygrisse is 102 W Kenwood Ave, Decatur, IL and can be reached out via phone at 217-545-8000.

Location: 102 W Kenwood Ave, Decatur, IL, 62702-5131
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871919134
Provider Name
Nada Lygrisse
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
102 W Kenwood Ave, Decatur, IL, 62702-5131
Phone Number
217-545-8000
Fax Number
Provider Enumeration Date
03/11/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0316886 05 OH
institution
Provider Business Practice Location Address Details
Address
102 W Kenwood Ave
City
Decatur
State
Illinois
Zip
62526-4368
Phone Number
217-545-8000
Fax Number
person
Provider Business Mailing Address Details
Address
102 W Kenwood Ave
City
Decatur
State
Illinois
Zip
62526-4368
Phone Number
217-545-8000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
5101021076 (Michigan)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
34.013540 (Ohio)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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