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Individual

CHELSEA LINK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
3111 W WILLIAM ST, CHAMPAIGN, IL 61821-4017
(217) 781-2046
Mailing address
3111 W WILLIAM ST, CHAMPAIGN, IL 61821-4017
(217) 781-2046

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
057004560
IL

Other

Enumeration date
08/31/2016
Last updated
08/31/2016
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