# SAFEGUARD COVID LLC

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

## Provider details

- **NPI number:** 1619628310
- **Authorized official:** SAMAR ABDEL-JABER (CEO)
- **Authorized official phone:** (217) 778-7327

## Contact information

- **Practice address:** 1804 S NEIL ST, CHAMPAIGN, IL 61820-7216
- **Practice address phone:** (217) 778-7327
- **Mailing address:** 1804 S NEIL ST, CHAMPAIGN, IL 61820-7216
- **Mailing address phone:** (217) 778-7327

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/13/2022
- **Last updated:** 01/13/2022