Organization
CARLE FOUNDATION HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BHARAT GOPAL MD (PROGRAM DIRECTOR)
(217) 383-3302
Entity
Organization
Contact information
Practice address
602 W UNIVERSITY AVE, SC-2, URBANA, IL 61801-2530
(217) 383-3302
Mailing address
602 W UNIVERSITY AVE, SC-2, URBANA, IL 61801-2530
(217) 383-3302
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
125-050-441
IL
Other
Enumeration date
05/13/2008
Last updated
05/13/2008
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