Organization
CARLE CLINIC ASSOCIATION, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRK MOBERG M.D, PH.D. (SENIOR VICE PRESIDENT)
(217) 337-4105
Entity
Organization
Contact information
Practice address
610 N LINCOLN AVE, URBANA, IL 61801-2432
(217) 383-6555
Mailing address
610 N LINCOLN AVE, URBANA, IL 61801-2432
(217) 383-6555
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
IL
Other
Enumeration date
09/19/2007
Last updated
09/19/2007
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