Illini Cares

NPI #1316498165 in Springfield, Illinois

Provider Information

NPI Number: 1316498165
Entity Type: Organization
Organization Name: Illini Cares
Primary Specialty: General Practice
Enumeration Date: Oct 17, 2016
Last Updated: Apr 27, 2017

Practice Location

Address: 3631 S 6TH ST
Address 2: SUITE D
City: Springfield
State: Illinois
ZIP Code: 62703-4777
Phone: (217) 391-5446

Authorized Official

Name: MR. CHAD BEENE
Title: MANAGER
Phone: (215) 915-1020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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