Organization
CHRISTIE CLINIC, PLLC
Active
Organization
CHRISTIE CLINIC, PLLC
Active
Other names
Christie Clinic, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CANDACE MCGREGOR MD (CHIEF MEDICAL OFFICER)
(217) 366-1255
Entity
Organization
Contact information
Practice address
101 W UNIVERSITY AVE, CHAMPAIGN, IL 61820-3909
(217) 366-1200
(217) 366-6106
Mailing address
101 W UNIVERSITY AVE, CHAMPAIGN, IL 61820-3909
(217) 366-1200
(217) 366-6106
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
07/04/2006
Last updated
01/17/2024
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