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Organization
UNIVERSITY OF ILLINOIS COLLEGE OF MEDICINE
Active
Organization
UNIVERSITY OF ILLINOIS COLLEGE OF MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOLLY A ROSENCRANZ M.D, MA, FACP (PROGRAM DIRECTOR)
(217) 383-3110
Entity
Organization
Contact information
Practice address
611 W PARK ST, CARLE FORUM, LL, URBANA, IL 61801-2500
(217) 383-3110
(217) 244-0621
Mailing address
611 W PARK ST, CARLE FORUM, LL, URBANA, IL 61801-2500
(217) 383-3110
(217) 244-0621
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
125060935
IL
Other
Enumeration date
08/28/2012
Last updated
08/28/2012
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