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Organization

CARLE CLINIC ASSOCIATION, PC

Active
Other names
Carle Clinic Danville
Organization subpart
No

Provider details

NPI number
Authorized official
KIRK MOBERG M.D., PH.D. (SENIOR VICE PRESIDENT)
(217) 337-4105
Entity
Organization

Contact information

Practice address
2300 N VERMILION ST, DANVILLE, IL 61832-1735
(217) 431-7600
Mailing address
2300 N VERMILION ST, DANVILLE, IL 61832-1735
(217) 431-7600

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
IL
207R00000X
Internal Medicine Physician
IL
207V00000X
Obstetrics & Gynecology Physician
IL
363A00000X
Physician Assistant
IL
363L00000X
Nurse Practitioner
Primary
IL

Other

Enumeration date
03/29/2007
Last updated
09/11/2025
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