Organization
UNIVERSITY OF ILLINOIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT HEALY M.D (PROGRAM DIRECTOR)
(217) 383-3110
Entity
Organization
Contact information
Practice address
611 W PARK ST, CARLE FORUM LOWER LEVEL, URBANA, IL 61801-2500
(217) 383-3110
Mailing address
611 W PARK ST, CARLE FORUM LOWER LEVEL, URBANA, IL 61801-2500
(217) 383-3110
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
125053641
IL
Other
Enumeration date
05/01/2008
Last updated
05/01/2008
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