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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
602 W UNIVERSITY AVE, URBANA, IL 61801-2530
(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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