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Organization

CARLE FOUNDATION HOSPITAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BHARAT GOPAL M.D. (FAMILY MEDICINE RESIDENCY DIRECTOR)
(217) 383-3170
Entity
Organization

Contact information

Practice address
602 W UNIVERSITY AVE, SC-2, URBANA, IL 61801-2530
(217) 383-3170
Mailing address
602 W UNIVERSITY AVE, SC-2, URBANA, IL 61801-2530
(217) 383-3170

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
IL

Other

Enumeration date
03/26/2008
Last updated
03/26/2008
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