# CHAMPAIGN URBANA PUBLIC HEALTH DEPARTMENT

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SEALANT PROGRAM
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1366693632
- **Legal business name:** SEALANT PROGRAM
- **Authorized official:** MS. JULIE PRYDE (INTERIM ADMINITRATOR)
- **Authorized official phone:** (217) 531-5369

## Contact information

- **Practice address:** 201 W KENYON RD, CHAMPAIGN, IL 61820-7807
- **Practice address phone:** (217) 531-4279
- **Practice address fax:** (217) 531-4333
- **Mailing address:** 201 W KENYON RD, CHAMPAIGN, IL 61820-7807
- **Mailing address phone:** (217) 531-4279
- **Mailing address fax:** (217) 531-4333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | 251K00000X | IL | Yes |

## Other

- **Enumeration date:** 10/06/2008
- **Last updated:** 10/06/2008