Carle Clinic Association, PC
Durable Medical Equipment & Medical Supplies in Danville, IL. Organization (NPI-2).
NPI number1720119290
StatusActive
Last updated in NPPESOct 30, 2007
Details
- NPI
- 1720119290
- Entity type
- Organization (NPI-2)
- Legal business name
- Carle Clinic Association, PC
- Organization subpart
- No
- Enumeration date
- Mar 8, 2007
- Last updated
- Oct 30, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | 060004307 | IL | Yes |
Practice location
2300 N Vermilion StDanville, IL 61832-1735
Phone 217-431-7900
Mailing address
2300 N Vermilion StDanville, IL 61832-1735
Phone 217-431-7900
Authorized official
Kirk Moberg
Senior Vice President
2173833311
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