Carle Clinic Association, Pc

NPI 1003947557 - Durable Medical Equipment & Medical Supplies - 332B00000X

NPI Details
NPI 1003947557
Enumeration Date 03/08/2007
Last Updated 12/30/2010
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KIRK KIRK
Position SENIOR VICE PRESIDENT
Phone (217) 326-1220
Fax
Practice Location
1802 S MATTIS AVE
CHAMPAIGN IL, 61821-5923, US
Phone (217) 326-1220
Fax
Business Location
1802 S MATTIS AVE
CHAMPAIGN IL, 61821-5923, US
Phone (217) 326-1220
Fax
Toxanomy
Taxonomy Code 332B00000X
License State Illinois
License Number 060004307
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According to our database, Carle Clinic Association, Pc NPI is 1003947557, taxonomy code is 332B00000X and license number is 060004307, license state is located at Illinois. Carle Clinic Association, Pc physically located at 1802 S Mattis Ave, Champaign IL, 61821-5923. NPI Number 1033115704 has the healthcare provider type.

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1003947557 NPI number is provided on an as is basis without warranty of any kind. 1003947557 is maintained by the National Plan & Provider Enumeration System. The contents of Carle Clinic Association, Pc are for informational purposes only.