Carle West Physician Group INC

NPI #1467074138 in Normal, Illinois

Provider Information

NPI Number: 1467074138
Entity Type: Organization
Organization Name: Carle West Physician Group INC
Primary Specialty: Family Medicine
Enumeration Date: May 15, 2020
Last Updated: May 15, 2020

Practice Location

Address: 1302 FRANKLIN AVE STE 3400
City: Normal
State: Illinois
ZIP Code: 61761-6523
Phone: (309) 556-8295

Authorized Official

Name: JAMES C LEONARD, M.D.
Title: PRESIDENT
Phone: (217) 383-3468

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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