Organization
CENTRAL ILLINOIS CENTER FOR WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM JOHN RAY MD (PHYSICIAN/OWNER)
(309) 807-5356
Entity
Organization
Contact information
Practice address
2501 E COLLEGE AVE STE C, BLOOMINGTON, IL 61704-2484
(309) 807-5356
(309) 807-5291
Mailing address
2501 E COLLEGE AVE STE C, BLOOMINGTON, IL 61704-2484
(309) 807-5356
(309) 807-5291
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/10/2018
Last updated
08/01/2024
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