Organization
CARLE FOUNDATION HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT HEALY (MD)
(217) 383-3311
Entity
Organization
Contact information
Practice address
9 TAYLOR, CHAMPAIGN, IL 61820-4006
(443) 472-0137
Mailing address
9 E TAYLOR ST, CHAMPAIGN, IL 61820-4006
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
R-230-029-031-544
MD
Other
Enumeration date
07/22/2014
Last updated
11/24/2014
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