# CHRISTIE CLINIC AMBLATORY SURGERY CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CHRISTIE CLINIC, PC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1538332648
- **Legal business name:** CHRISTIE CLINIC, PC
- **Authorized official:** R. ALAN GLEGHORN (CEO)
- **Authorized official phone:** (217) 366-5201

## Contact information

- **Practice address:** 101 W UNIVERSITY AVE, CHAMPAIGN, IL 61820-3909
- **Practice address phone:** (217) 366-1270
- **Mailing address:** 101 W UNIVERSITY AVE, CHAMPAIGN, IL 61820-3909
- **Mailing address phone:** (217) 366-1270

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/09/2008
- **Last updated:** 04/09/2008