Organization
CARLE FOUNDATION PHYSICIAN SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES C LEONARD MD (PRESIDENT/CEO)
(217) 326-4677
Entity
Organization
Contact information
Practice address
810 W ANTHONY DR, URBANA, IL 61802-7431
(217) 383-6792
Mailing address
P O BOX 6004, URBANA, IL 61803-6004
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/02/2010
Last updated
06/17/2011
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