Organization
CATHOLIC CHARITIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN E ROACH (EXECUTIVE DIRECTOR)
(217) 523-9201
Entity
Organization
Contact information
Practice address
700 N 7TH ST, SUITE A, SPRINGFIELD, IL 62702-6352
(217) 523-1474
(217) 523-0194
Mailing address
700 N 7TH ST, SUITE A, SPRINGFIELD, IL 62702-6352
(217) 523-1474
(217) 523-0194
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
152W00000X
Optometrist
—
—
Other
Enumeration date
03/11/2008
Last updated
04/20/2008
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