MRS. SOLFIA MEDINA SAULOG


Address: 1800 E Lake Shore Dr, Decatur, IL 62521-3810
Phone: 2174642870

MRS. SOLFIA MEDINA SAULOG (NPI# 1437322823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437322823
Entity Type Individual
Full Name MRS. SOLFIA MEDINA SAULOG
Other Name MRS. SOLFIA MEDINA REYES
Credential M.D.
Practice Address 1800 E Lake Shore Dr
Decatur
IL 62521-3810
Mailing Address 4075 Copper Ridge Dr
Traverse City
MI 49684-7059
Practice Telephone 2174642870
Practice Fax Number 2174641616
Mailing Telephone 8886320543
Mailing Fax Number 2319324204
Enumeration Date 2008-04-08
Last Update Date 2008-04-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice IL Allopathic & Osteopathic Physicians

Office Location

Street Address 1800 E LAKE SHORE DR
City DECATUR
State IL
Zip Code 62521-3810

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326041229 St Marys Hospital Sisters of The Third Order of St Francis General Acute Care Hospital 1800 E Lake Shore Dr, Decatur, IL 62521 2005-05-24
1093349912 Nicholas Halford Nurse Anesthetist, Certified Registered 1800 E Lake Shore Dr, Decatur, IL 62521-3810 2020-02-29
1295368207 Amanda Durbin Nurse Anesthetist, Certified Registered 1800 E Lake Shore Dr, Decatur, IL 62521-3810 2020-02-18
1194362392 Cassie Briggs Nurse Practitioner 1800 E Lake Shore Dr, Decatur, IL 62521-3883 2019-12-06
1093351413 Megan Leech Advanced Practice Midwife 1800 E Lake Shore Dr, Decatur, IL 62521-3810 2019-11-20
1992355812 Gideon Nkrumah Nurse Anesthetist, Certified Registered 1800 E Lake Shore Dr, Decatur, IL 62521-3883 2019-09-12
1407417181 Komal J Patel Dietitian, Registered 1800 E Lake Shore Dr, Decatur, IL 62521-3810 2019-06-24
1760940712 Emily Ann Foster Internal Medicine 1800 E Lake Shore Dr, Decatur, IL 62521-3810 2019-03-08
1477010874 Jennifer Diann Pieper Nurse Anesthetist, Certified Registered 1800 E Lake Shore Dr, Decatur, IL 62521-3810 2019-02-22
1760955298 Hailey Michelle Williams Dietitian, Registered 1800 E Lake Shore Dr, Decatur, IL 62521-3810 2019-01-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053927988 Caleb David Braasch Pharmacist 1818 South Airport Rd, Decatur, IL 62521 2020-09-16
1295390490 Crossing Recovery Center Substance Abuse Rehabilitation Facility Crossing Recovery Center, 495 East Central Ave, Decatur, IL 62521 2019-05-03
1396300638 Crossing Recovery Center Substance Abuse Rehabilitation Facility 495 E Central Ave, Decatur, IL 62521 2019-05-02
1679138911 Crossing Recovery Center Substance Abuse Rehabilitation Facility 495 East Central Ave, Decatur, IL 62521 2019-05-02
1154848034 Zack Shaw Physical Therapist 4855-57 East 36, Decatur, IL 62521 2017-08-23
1790032852 Prashant Morolia Family Medicine 4775 E Maryland St, Decatur, IL 62521 2012-08-08
1003188913 Evergreen Place Decatur, LLC Assisted Living Facility 4825 E Evergreen Court, Decatur, IL 62521 2012-02-08
1104133099 Suzette Marie Shafer Occupational Therapy Assistant 1790 S. Fairview Ave., Decatur, IL 62521 2010-09-13
1467784090 Community Health Improvement Center Clinic/Center 1221 East Condit Street, Decatur, IL 62521 2010-02-08
1982839056 Kelly Clark Dds PC Dentist 3737 Us Rt 36 E, Decatur, IL 62521 2009-05-19
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972032076 Martha F Rogers General Practice 411 S Mcdonough St, Decatur, GA 30030-3721 2017-06-12
1982910089 American Family Care, Inc. General Practice 2604 Highway 31 S, Decatur, AL 35603-1506 2010-08-26
1780990200 James E Posey Jr. General Practice 801 Church St Ne, 14, Decatur, AL 35601-2472 2010-08-21
1790011823 Fred Louis Stallings General Practice 4289 Wyndham Park Dr, Decatur, GA 30034-5463 2009-10-23
1689867814 Pamela Gross General Practice 219 Missionary Dr, Decatur, GA 30030-3842 2007-08-21
1760673537 Alpha Medical Center LLC General Practice 619 E College Ave Ste C1, Decatur, GA 30030-5326 2007-08-07
1073739579 Nevorn Askari General Practice 1836 Second Ave, Decatur, GA 30032-3970 2007-04-17
1073667127 Sue Kim Lee General Practice 2199 N Decatur Road, Ste 3, Decatur, GA 30033 2007-01-23
1124013495 Amina Hassanali General Practice 1829 Lawrenceville Hwy, Decatur, GA 30033-5728 2005-09-13
1366927741 Song Kang General Practice 320 E Central Ave, Decatur, IL 62521-4665 2018-10-01
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Competitor

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City DECATUR
Zip Code 62521

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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