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Organization
EASTER SEALS-UCP
Active
Organization
EASTER SEALS-UCP
Active
Parent organization
EASTER SEALS-UCP
Other names
CFC #16
Organization subpart
Yes
Provider details
NPI number
Legal business name
EASTER SEALS-UCP
Authorized official
JAMES L RUNYON (EX VP)
(309) 686-1177
Entity
Organization
Contact information
Practice address
103 S COUNTRY FAIR DR, CHAMPAIGN, IL 61821-3061
(217) 693-7958
(217) 693-7967
Mailing address
103 S COUNTRY FAIR DR, CHAMPAIGN, IL 61821-3061
(217) 693-7958
(217) 693-7967
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
09/25/2013
Last updated
09/25/2013
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