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Organization
THE CARLE FOUNDATION HOSPITAL
Active
Organization
THE CARLE FOUNDATION HOSPITAL
Active
Parent organization
THE CARLE FOUNDATION
Other names
CARLE RX
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE CARLE FOUNDATION
Authorized official
JAMES LEONARD MD (CEO)
(217) 902-5291
Entity
Organization
Contact information
Practice address
1701 CURTIS RD STE 1024, CHAMPAIGN, IL 61822-9678
(219) 365-5400
Mailing address
3310 FIELDS SOUTH DR, FAPC, CHAMPAIGN, IL 61822-3741
(217) 902-5291
(217) 902-7711
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Enumeration date
12/09/2022
Last updated
12/09/2022
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