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University Of Illinois At Urbana-Champaign

Internal Medicine in Urbana, IL. Organization (NPI-2).

NPI number1861663288
StatusActive
Last updated in NPPESMar 13, 2008

Details

NPI
1861663288
Entity type
Organization (NPI-2)
Legal business name
University Of Illinois At Urbana-Champaign
Organization subpart
No
Enumeration date
Mar 13, 2008
Last updated
Mar 13, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine––Yes

Practice location

611 W Park St
Urbana, IL 61801-2500

Phone 217-383-3110

Mailing address

611 W Park St
Urbana, IL 61801-2500

Phone 217-383-3110

Authorized official

Robert Healy
Program Director
2173833110

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