Organization
THE CARLE FOUNDATION HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES C LEONARD (CEO)
(217) 383-3221
Entity
Organization
Contact information
Practice address
611 W PARK ST, URBANA, IL 61801
(217) 326-2955
(217) 326-2996
Mailing address
611 W PARK ST, URBANA, IL 61801-2500
(217) 326-2955
(217) 326-2996
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
231H00000X
Audiologist
—
—
235Z00000X
Speech-Language Pathologist
—
—
282N00000X
General Acute Care Hospital
Primary
0003798
IL
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113326
HEALTHLINK PROV ID
IL
01
—
203
BLUE CROSS PROV ID
IL
01
—
4117
HEALTH ALLIANCE PROV ID
IL
01
—
7216
PERSONALCARE
IL
Enumeration date
12/20/2006
Last updated
06/27/2018
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