Provider profile · NPI 1912985185
Theodore Rexford Addai, M.D.
Internal Medicine, Cardiovascular Disease · Decatur, IL · NPI 1912985185 · No federal exclusion match
✔ Verified against the public CMS NPPES registry & HHS-OIG LEIE as of Jun 21, 2026. Source-linked, daily-refreshed. Public data only — no PHI.
Registry details
Type
Individual
Primary specialty
Internal Medicine, Cardiovascular Disease
Enumerated
Jan 6, 2006
License(s)
036078026 (IL), 036078026 (IL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 1770 E LAKE SHORE DR STE 105 | Decatur, IL 62521-3800 | 217-422-6100 |
| MAILING | 1770 E LAKE SHORE DR STE 105 | Decatur, IL 62521-3800 | 217-422-6100 |
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