Carle Foundation Physician Services, LLC

NPI #1265734800 in Urbana, Illinois

Provider Information

NPI Number
1265734800
Entity Type
Organization
Organization Name
Carle Foundation Physician Services, LLC
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Dec 2, 2010
Last Updated
Jun 17, 2011

Practice Location

Address
602 W UNIVERSITY AVE
City
Urbana
ZIP Code
61801-2530
Phone
(217) 383-6792

Authorized Official

Name
JAMES C LEONARD, MD
Title
PRESIDENT/CEO
Phone
(217) 326-4677

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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