# ELITE CARE PROVIDERS PC

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

## Provider details

- **NPI number:** 1356667489
- **Authorized official:** JONAS RAFAEL MOLINA PT (PRESIDENT)
- **Authorized official phone:** (217) 418-0118

## Contact information

- **Practice address:** 704 GOLDENVIEW DR, CHAMPAIGN, IL 61821-3430
- **Practice address phone:** (217) 418-0118
- **Mailing address:** 704 GOLDENVIEW DR, CHAMPAIGN, IL 61821-3430
- **Mailing address phone:** (217) 418-0118

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 04/14/2010
- **Last updated:** 11/22/2010