Kefalas, John Chris

Kefalas, John Chris is an individual health care provider with primary practice located at 2905 N Main St Suite G, Decatur IL 62526-4276. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Kefalas, John Chris can be contacted 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

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 36094691 Illinois
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 36094691 Illinois

Profile Details

NPI number 1386832855
LBN Legal business name Kefalas, John Chris
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2007
Last updated Feb 13th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386832855 NPPES
Illinois MEDICAID 36-094691

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