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Contact Information

DANIEL R LYGRISSE, DO
6000 N ALLEN RD
PEORIA, IL61614-3294
 Phone: 309-691-1400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery of the Hand

2086S0105X 02 Physician/General Surgery
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for DANIEL R LYGRISSE · (Male)

NPI Number 1518306489
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/24/2013
Last updated 06/18/2025 - About 12 months ago
Sole proprietor 1 No
Identifiers
  • IL License # 036150334
  • OH License # 34.013284
  • OH Medicaid 0282518
  • OH Other H601150 MEDICARE
Hospital affiliation(s)
  • DECATUR MEMORIAL HOSPITAL - (Acute Care)
    2300 NORTH EDWARD STREET
    DECATUR, IL 62526
  • JOHN & MARY KIRBY HOSPITAL - (Critical Access)
    1111 N STATE ST
    MONTICELLO, IL 61856
  • ST MARYS HOSPITAL - (Acute Care)
    1800 E LAKE SHORE DR
    DECATUR, IL 62521
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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