Organization
CARLE HEALTH CARE INCORPORATED
Active
Other names
Carle Physician Group
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES LEONARD MD (CEO)
(217) 902-5291
Entity
Organization
Contact information
Practice address
3105 FIELDS SOUTH DR, CHAMPAIGN, IL 61822-3743
(179) 023-9372
(217) 902-7751
Mailing address
PO BOX 6002, URBANA, IL 61803-6002
(217) 383-8300
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/10/2010
Last updated
11/08/2021
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