Planned Parenthood of Illinois

NPI #1134536063 in Champaign, Illinois

Provider Information

NPI Number: 1134536063
Entity Type: Organization
Organization Name: Planned Parenthood of Illinois
Subpart: Yes (part of a larger organization)
Parent Organization: PLANNED PARENTHOOD OF ILLINOIS
Primary Specialty: Clinic/Center
Enumeration Date: Jul 11, 2014
Last Updated: Oct 17, 2022

Practice Location

Address: 302 E STOUGHTON ST
City: Champaign
State: Illinois
ZIP Code: 61820-5414
Phone: (217) 359-8022

Authorized Official

Name: ERIKA R GONZALEZ
Title: CREDENTIALING COORDINATOR
Phone: (312) 592-6892

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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