# CARLE FOUNDATION HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083736177
- **Authorized official:** JAMES LEONARD MD (CEO)
- **Authorized official phone:** (217) 383-3220

## Contact information

- **Practice address:** 611 W PARK ST, URBANA, IL 61801-2500
- **Practice address phone:** (217) 326-2911
- **Practice address fax:** (217) 344-8047
- **Mailing address:** 611 W. PARK ST., BWPC, URBANA, IL 61801-2500
- **Mailing address phone:** (217) 326-2911
- **Mailing address fax:** (217) 344-8047

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 231H00000X | Audiologist | — | NULL | — |
| 231H00000X | Audiologist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |
| 282N00000X | General Acute Care Hospital | 003798 | IL | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 04/06/2007
- **Last updated:** 02/16/2016
