Organization
ABILICARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARCIANO F MONDALA PT (PRESIDENT)
(217) 355-8855
Entity
Organization
Contact information
Practice address
2418 W SPRINGFIELD AVE, CHAMPAIGN, IL 61821-2812
(217) 355-8855
(217) 355-8856
Mailing address
2418 W SPRINGFIELD AVE, CHAMPAIGN, IL 61821-2812
(217) 355-8855
(217) 355-8856
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1011193
IL
Other
Enumeration date
11/13/2009
Last updated
11/13/2009
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