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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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