Organization
MAHOMET CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY SCHRODER (PHYSICAL THERAPIST OWNER)
(217) 655-4993
Entity
Organization
Contact information
Practice address
1002 CHURCHILL RD STE 1, MAHOMET, IL 61853-7456
(217) 655-4993
Mailing address
1002 CHURCHILL RD STE 1, MAHOMET, IL 61853-7456
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/30/2024
Last updated
10/30/2024
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