# CARLE CLINIC ASSOCIATION

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

## Provider details

- **NPI number:** 1609906999
- **Authorized official:** ZUHEIR KASSABO MD (HOSPITALIST)
- **Authorized official phone:** (217) 355-7951

## Contact information

- **Practice address:** 701 KREBS DR, CHAMPAIGN, IL 61822
- **Practice address phone:** (217) 355-7951
- **Mailing address:** 701 KREBS DR, CHAMPAIGN, IL 61822

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 036-115508 | IL | — |
| 282N00000X | General Acute Care Hospital | 036-115508 | IL | Yes |

## Other

- **Enumeration date:** 03/06/2007
- **Last updated:** 08/31/2009