Carle Clinic Association, PC

NPI #1003947557 in Champaign, Illinois

Provider Information

NPI Number
1003947557
Entity Type
Organization
Organization Name
Carle Clinic Association, PC
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Mar 8, 2007
Last Updated
Dec 30, 2010

Practice Location

Address
1802 S MATTIS AVE
ZIP Code
61821-5923
Phone
(217) 326-1220

Authorized Official

Name
KIRK MOBERG, M.D., PH.D.
Title
SENIOR VICE PRESIDENT
Phone
(217) 383-3311

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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