Organization
CARLE HEALTH CARE INCORPORATED
Active
Other names
Carle Physician Group
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES C LEONARD MD (PRESIDENT/CEO)
(217) 326-3220
Entity
Organization
Contact information
Practice address
200 LERNA RD S, MATTOON, IL 61938-9388
(217) 258-5900
Mailing address
PO BOX 6002, URBANA, IL 61803-6002
(217) 383-6792
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/02/2010
Last updated
10/15/2014
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