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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