# CARLE FOUNDATION HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Carle Therapy Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376669267
- **Authorized official:** DR. JAMES C. LEONARD M.D. (PRESIDENT AND CEO)
- **Authorized official phone:** (217) 383-3220

## Contact information

- **Practice address:** 1701 E COLLEGE AVE, BLOOMINGTON, IL 61704-2101
- **Practice address phone:** (309) 664-3420
- **Practice address fax:** (309) 664-3422
- **Mailing address:** 611 W PARK ST, URBANA, IL 61801-2500
- **Mailing address phone:** (217) 383-3220
- **Mailing address fax:** (217) 383-3018

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/22/2007
- **Last updated:** 04/20/2008