Organization
ILLINOIS DEPARTMENT OF PUBLIC HEALTH
Active
Organization
ILLINOIS DEPARTMENT OF PUBLIC HEALTH
Active
Other names
HIV/AIDS Section
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATT CHARLES (HIV/AIDS ASSISTANT SECTION CHIEF)
(217) 782-1207
Entity
Organization
Contact information
Practice address
525 WEST JEFFERSON, 1ST FLOOR, SPRINGFIELD, IL 62761
(217) 524-5983
(217) 524-6090
Mailing address
525 WEST JEFFERSON, 1ST FLOOR, SPRINGFIELD, IL 62761
(217) 524-5983
(217) 524-6090
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
IL
Other
Enumeration date
11/25/2009
Last updated
11/25/2009
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