Ista Ariane Egbeto, MD
Dermatology in Decatur, IL. Individual provider (NPI-1).
NPI number1962080754
StatusActive
Last updated in NPPESNov 24, 2025
Details
- NPI
- 1962080754
- Entity type
- Individual (NPI-1)
- Name
- Ista Ariane Egbeto
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 1, 2021
- Certification date
- Nov 24, 2025
- Last updated
- Nov 24, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | 036174078 | IL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
2 Memorial Dr Fl 1Decatur, IL 62526-3950
Phone 217-872-2930 · Fax 217-872-2979
Mailing address
Po Box 19639Springfield, IL 62794-9639
Phone 217-545-8000 · Fax 844-470-2486
Other practice locations
680 Centre St
Brockton, MA 02302-3308
Brockton, MA 02302-3308
Phone 240-273-6219
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Other Dermatology Physician providers in Decatur, IL
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- Babich Skin Care Center, INC.NPI 1912195595
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- Francis C Lee, MD ScNPI 1669687984
- Francis Chaepoong Lee, M.D.NPI 1396735114
All 6 Dermatology Physician providers in Decatur · All 1,941 providers in Decatur
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