Organization
CHRISTIE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHEENA EISEN H ADRADOS MSN, FNP-BC (APN)
(217) 979-7228
Entity
Organization
Contact information
Practice address
611 LURIA LN, CHAMPAIGN, IL 61822-1108
(217) 979-7228
Mailing address
611 LURIA LN, CHAMPAIGN, IL 61822-1108
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
209015481
IL
Other
Enumeration date
02/20/2017
Last updated
02/20/2017
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