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Organization
UNIVERSITY OF ILLINOIS AT URBANA-CHAMPAIGN
Active
Organization
UNIVERSITY OF ILLINOIS AT URBANA-CHAMPAIGN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT HEALY (PROGRAM DIRECTOR)
(217) 383-3110
Entity
Organization
Contact information
Practice address
611 W PARK ST, URBANA, IL 61801-2500
(217) 383-3110
Mailing address
611 W PARK ST, URBANA, IL 61801-2500
(217) 383-3110
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/13/2008
Last updated
03/13/2008
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