Organization
CHRISTIE CLINIC AMBLATORY SURGERY CENTER LLC
Active
Parent organization
CHRISTIE CLINIC, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHRISTIE CLINIC, PC
Authorized official
R. ALAN GLEGHORN (CEO)
(217) 366-5201
Entity
Organization
Contact information
Practice address
101 W UNIVERSITY AVE, CHAMPAIGN, IL 61820-3909
(217) 366-1270
Mailing address
101 W UNIVERSITY AVE, CHAMPAIGN, IL 61820-3909
(217) 366-1270
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/09/2008
Last updated
04/09/2008
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