Organization
HEALTHCARE NETWORK ASSOCIATES
Active
Other names
SportsCare of Illinois
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT T CLARK (PRESIDENT AND CEO)
(217) 788-3340
Entity
Organization
Contact information
Practice address
100 CHATHAM RD, SPRINGFIELD, IL 62704-1533
(217) 862-0444
Mailing address
PO BOX 3428, SPRINGFIELD, IL 62708-3428
(800) 577-5368
(217) 757-2021
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05415280
BCBS PROVIDER NUMBER
IL
Enumeration date
08/09/2007
Last updated
08/09/2007
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