Carle West Physician Group INC
NPI #1033866801 in Bloomington, Illinois
Provider Information
- NPI Number
- 1033866801
- Entity Type
- Organization
- Organization Name
- Carle West Physician Group INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- THE CARLE FOUNDATION
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Mar 2, 2022
- Last Updated
- Mar 2, 2022
Practice Location
- Address
- 1111 TRINITY LN STE 111
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61704-8112
- Phone
- (309) 663-6461
Authorized Official
- Name
- JAMES C LEONARD
- Title
- PRESIDENT
- Phone
- (217) 902-5291
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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