Organization
EQUITY CLINIC S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH REISINGER-KINDLE DO, MPH, MS (MEDICAL DIRECTOR/OWNER)
(269) 929-1064
Entity
Organization
Contact information
Practice address
2111 W PARK CT, CHAMPAIGN, IL 61821-2986
(269) 929-1064
Mailing address
2111 W PARK CT, CHAMPAIGN, IL 61821-2986
(224) 350-2973
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
12/22/2022
Last updated
02/19/2023
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