Organization
THE CARLE FOUNDATION HOSPITAL
Active
Other names
CARLE MEDICAL SUPPLY
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES LEONARD MD (CEO)
(217) 393-3220
Entity
Organization
Contact information
Practice address
611 W PARK ST, URBANA, IL 61801-2529
(217) 383-8735
Mailing address
611 W PARK ST, URBANA, IL 61801-2529
(217) 383-3311
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/19/2019
Last updated
11/19/2019
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