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Organization

CARLE CLINIC ASSOCIATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JOHN M SNYDER AU.D., CCC-A (CHEIF OPERATING OFFICER)
(217) 326-4677
Entity
Organization

Contact information

Practice address
602 W UNIVERSITY AVE, URBANA, IL 61801-2530
(217) 383-3130
Mailing address
P.O. BOX 6002, URBANA, IL 61803-6002
(217) 326-8300

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147-001132
IL

Other

Enumeration date
07/15/2006
Last updated
05/05/2011
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