Organization
CARLE HEALTH CARE INCORPORATED
Active
Other names
Carle Physician Group
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN SNYDER (VICE CHAIRMAN)
(217) 326-8300
Entity
Organization
Contact information
Practice address
311 W FAIRCHILD ST, DANVILLE, IL 61832-3876
(217) 431-7600
Mailing address
311 W FAIRCHILD ST, DANVILLE, IL 61832-3876
(217) 431-7600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
04/07/2010
Last updated
01/12/2011
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