Organization
CARLE WEST PHYSICIAN GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES C LEONARD M.D. (PRESIDENT)
(217) 383-3468
Entity
Organization
Contact information
Practice address
1302 FRANKLIN AVE STE 3400, NORMAL, IL 61761-6523
(309) 556-8295
Mailing address
611 W PARK ST, URBANA, IL 61801-2529
(217) 383-6792
(217) 383-4752
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/15/2020
Last updated
05/15/2020
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