Organization
CCM CHAMPAIGN COUNTY MOBILITY LL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MICHAEL BECKWITH (OWNER)
(217) 359-5800
Entity
Organization
Contact information
Practice address
1508 W ANTHONY DR, CHAMPAIGN, IL 61821-1191
(217) 359-5800
(217) 398-8901
Mailing address
1508 W ANTHONY DR, CHAMPAIGN, IL 61821-1191
(217) 359-5800
(217) 398-8901
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/16/2019
Last updated
12/16/2019
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