Organization
CARLE FOUNDATION HOSPITAL
Active
Other names
Carle Therapy Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES C. LEONARD M.D. (PRESIDENT AND CEO)
(217) 383-3220
Entity
Organization
Contact information
Practice address
1701 E COLLEGE AVE, BLOOMINGTON, IL 61704-2101
(309) 664-3420
(309) 664-3422
Mailing address
611 W PARK ST, URBANA, IL 61801-2500
(217) 383-3220
(217) 383-3018
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
03/22/2007
Last updated
04/20/2008
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