Central Illinois Bone And Joint Center

LBN: John C. Kefalas, M.D.,S.C.
Central Illinois Bone And Joint Center is an health care organization with primary practice located at 2905 N Main St Suite G, Decatur IL 62526-4276. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as the primary health care specialty. John C. Kefalas, M.D.,S.C. can be contacted via phone (217) 425-2600, or through Kefalas, John Chris via phone (217) 425-2600.

Contact Information

Primary practice address
2905 N Main St Suite G Decatur IL 62526-4276
Phone: (217) 425-2600
Fax: (217) 425-2900
Website:
Map and Directions
Authorized official contact:
Name: Kefalas, John Chris Doctor of Medicine (MD)
Phone: (217) 425-2600

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 36-094691 Illinois

Profile Details

NPI number 1811993405
LBN Legal business name John C. Kefalas, M.D.,S.C.
DBA Doing business as Central Illinois Bone And Joint Center
Authorized official Kefalas, John Chris Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 28th, 2005
Last updated Feb 13th, 2017 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811993405 NPPES
Illinois MEDICAID 36-094691

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