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Dr. Theodore Rexford Addai, MD
Cardiovascular Disease Physician in Decatur, Illinois
NPI 1912985185

Theodore Rexford Addai is a Cardiovascular Disease Physician based in Decatur, IL and is specialized in Cardiovascular Disease. Theodore Rexford Addai practices in Decatur, IL and has the professional credentials of MD. The NPI Number for Theodore Rexford Addai is 1912985185 and holds a License No. 036078026 (Illinois).

The current practice location address for Theodore Rexford Addai is 1770 E Lake Shore Dr Ste 105, Decatur, IL and can be reached out via phone at 217-422-6100 and via fax at 833-784-5326.

Location: 1770 E Lake Shore Dr Ste 105, Decatur, IL, 62521-3800
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912985185
Provider Name
Theodore Rexford Addai
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1770 E Lake Shore Dr Ste 105, Decatur, IL, 62521-3800
Phone Number
217-422-6100
Fax Number
833-784-5326
Provider Enumeration Date
01/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000334245 01 IL RAILROAD
036078026 05 IL
institution
Provider Business Practice Location Address Details
Address
1770 E Lake Shore Dr Ste 105
City
Decatur
State
Illinois
Zip
62521-3800
Phone Number
217-422-6100
Fax Number
833-784-5326
person
Provider Business Mailing Address Details
Address
1770 E Lake Shore Dr Ste 105
City
Decatur
State
Illinois
Zip
62521-3800
Phone Number
217-422-6100
Fax Number
833-784-5326
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
036078026 (Illinois)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
207RC0000X
License No.
036078026 (Illinois)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
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