Champion Fitness, Inc

NPI 1114313442 - Clinic/Center - 261QP2000X

NPI Details
NPI 1114313442
Enumeration Date 04/14/2015
Last Updated 04/14/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name MICHAEL MICHAEL
Position CEO
Phone (217) 268-3188
Fax (217) 268-4360
Practice Location
548 E SPRINGFIELD RD
ARCOLA IL, 61910-1801, US
Phone (217) 268-3188
Fax (217) 268-4360
Business Location
924 W CUSTER AVE
PONTIAC IL, 61764-1067, US
Phone (815) 844-5411
Fax (815) 844-5322
Toxanomy
Taxonomy Code 261QP2000X
License State
License Number
Remove 1114313442 NPI Number
 

According to our database, Champion Fitness, Inc NPI is 1114313442, taxonomy code is 261QP2000X Champion Fitness, Inc physically located at 548 E Springfield Rd, Arcola IL, 61910-1801. NPI Number 1033115704 has the healthcare provider type.

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1114313442 NPI number is provided on an as is basis without warranty of any kind. 1114313442 is maintained by the National Plan & Provider Enumeration System. The contents of Champion Fitness, Inc are for informational purposes only.