Organization
ELITE CARE PROVIDERS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONAS RAFAEL MOLINA PT (PRESIDENT)
(217) 418-0118
Entity
Organization
Contact information
Practice address
704 GOLDENVIEW DR, CHAMPAIGN, IL 61821-3430
(217) 418-0118
Mailing address
704 GOLDENVIEW DR, CHAMPAIGN, IL 61821-3430
(217) 418-0118
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/14/2010
Last updated
11/22/2010
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