Carle Foundation Hospital

NPI #1427225044 in Urbana, Illinois

Provider Information

NPI Number: 1427225044
Entity Type: Organization
Organization Name: Carle Foundation Hospital
Primary Specialty: Family Medicine
Enumeration Date: May 13, 2008
Last Updated: May 13, 2008

Practice Location

Address: 602 W UNIVERSITY AVE
Address 2: SC-2
City: Urbana
State: Illinois
ZIP Code: 61801-2530
Phone: (217) 383-3302

Authorized Official

Name: BHARAT GOPAL, MD
Title: PROGRAM DIRECTOR
Phone: (217) 383-3302

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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