MIDWEST OBGYN & INFERTILITY CENTER NPI 1104173533

NPI Information

  • NPI: 1104173533
  • Provider Name: MIDWEST OBGYN & INFERTILITY CENTER
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Organization
  • CLIA Number: 14D0963466
  • Address: 675 E SNYDER DR STE 1
    DECATUR, IL
    ZIP 62526
  • Phone: (217) 875-1886

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NPI Details

MIDWEST OBGYN & INFERTILITY CENTER is an obstetrics gynecology in Decatur, IL. The provider is 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. MIDWEST OBGYN & INFERTILITY CENTER NPI is 1104173533. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

675 E SNYDER DR STE 1
DECATUR, IL
ZIP 62526-766
Phone: (217) 875-1886
Fax: (217) 875-3120

The provider's authorized official is Vidya Sagar Rao Morisetty .
The authorized official title is Owner and has the following contact phone number (217) 875-1886.

The CLIA number assigned to this NPI record is 14D0963466 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/3/2012 and was last updated on 7/17/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & Gynecology036084779ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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