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Carle Clinic Association, P.C.

Durable Medical Equipment & Medical Supplies in Urbana, IL. Organization (NPI-2).

NPI number1154523934
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1154523934
Entity type
Organization (NPI-2)
Legal business name
Carle Clinic Association, P.C.
Organization subpart
No
Enumeration date
Jun 4, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332B00000X Durable Medical Equipment & Medical Supplies060004307ILYes

Practice location

610 North Lincoln Avenue
Urbana, IL 61820

Phone 217-383-6555

Mailing address

602 W University Ave
Urbana, IL 61801-2530

Phone 217-383-3311

Authorized official

Kirk Moberg
Senior Vice President
2173833311

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