Organization
CARLE WEST PHYSICIAN GROUP INC
Active
Parent organization
THE CARLE FOUNDATION
Other names
CARLE MCLEAN ORTHOPEDIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE CARLE FOUNDATION
Authorized official
JAMES C LEONARD (PRESIDENT)
(217) 902-5291
Entity
Organization
Contact information
Practice address
1111 TRINITY LN STE 111, BLOOMINGTON, IL 61704-8112
(309) 663-6461
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
Primary
—
—
Other
Enumeration date
03/02/2022
Last updated
03/02/2022
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