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Organization

CHAMPAIGN URBANA PUBLIC HEALTH DEPARTMENT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JULIE PRYDE (INTERM ADMINISTRATOR)
(217) 531-5369
Entity
Organization

Contact information

Practice address
201 W KENYON RD, CHAMPAIGN, IL 61820-7807
(217) 352-7961
(217) 531-4336
Mailing address
201 W KENYON RD, CHAMPAIGN, IL 61820-7807
(217) 352-7961
(217) 531-4336

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1002052
IL
05
1004112
IL
05
1801080916
IL
Enumeration date
02/25/2008
Last updated
09/23/2008
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