Organization
CARLE SPORTS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KARY RAE COLLETTE ATC,LAT (ATHLETIC TRAINER CERTIFIED)
(217) 239-2936
Entity
Organization
Contact information
Practice address
810 W ANTHONY DR, URBANA, IL 61802-7431
(217) 383-3300
Mailing address
2509 BRETT DRIVE, CHAMPAIGN, IL 61821
(217) 239-2936
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
—
—
Other
Enumeration date
05/04/2006
Last updated
08/22/2020
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