Organization · NPI-2

B3 Healthcare PLLC

Clinic/Center · Springfield, IL

NPI number1144931999
StatusActive
Last updated in NPPESDec 12, 2022

Details

NPI
1144931999
Entity type
Organization (NPI-2)
Legal business name
B3 Healthcare PLLC
Organization subpart
No
Enumeration date
Dec 12, 2022
Certification date
Dec 12, 2022
Last updated
Dec 12, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Practice location

319 E Madison St Ste 2d
Springfield, IL 62701-3120

Phone 217-508-5859

Mailing address

1404 English Oak Dr
Champaign, IL 61822-3351

Phone 217-273-3552

Authorized official

Clinton Holaday
Owner
2175085859

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