Organization
CARLE HEALTH CARE INCORPORATED
Active
Other names
CARLE PHYSICIAN GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES LEONARD (PRESIDENT & CEO)
(217) 383-3221
Entity
Organization
Contact information
Practice address
2512 HURST DR, MATTOON, IL 61938-9200
(217) 258-5900
(217) 258-5904
Mailing address
611 W PARK ST. - BWPC, URBANA, IL 61801-2500
(217) 383-6792
(217) 383-4752
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/16/2014
Last updated
05/16/2014
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