Organization
CARLE FOUNDATION PHYSICIAN SERVICES LLC
Active
Organization
CARLE FOUNDATION PHYSICIAN SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES C LEONARD MD (PRESIDENT/CHIEF EXECUTIVE OFFICER)
(217) 383-3220
Entity
Organization
Contact information
Practice address
611 W PARK ST, URBANA, IL 61801-2500
(217) 383-3319
Mailing address
611 W PARK ST, URBANA, IL 61801-2500
(217) 383-3319
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/26/2006
Last updated
11/15/2010
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