Organization
CARLE HEALTH CARE INCORPORATED
Active
Other names
Carle Physician Group
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN M SNYDER (COO)
(217) 326-4677
Entity
Organization
Contact information
Practice address
709 W UNIVERSITY AVE, URBANA, IL 61801-1765
(217) 383-3197
Mailing address
602 W UNIVERSITY AVE, PROVIDER ENROLLMENT - NCW4, URBANA, IL 61801-2530
(217) 383-6792
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
—
—
Other
Enumeration date
02/15/2012
Last updated
02/15/2012
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