Organization
OMNICARE LABS OF CHAMPAIGN INC
Active
Parent organization
OMNICARE LABS OF CHAMPAIGN
Other names
OMNI PROSTHETICS AND ORTHOTICS
Organization subpart
Yes
Provider details
NPI number
Legal business name
OMNICARE LABS OF CHAMPAIGN
Authorized official
MR. WILLIAM R DEVLIN CPO/L (PRESIDENT CPO/L)
(217) 344-6664
Entity
Organization
Contact information
Practice address
201 RICHMOND AVE E, STE 5, MATTOON, IL 61938-4665
(217) 235-6664
(217) 235-6655
Mailing address
502 S VINE ST, URBANA, IL 61801-4220
(217) 344-6664
(217) 344-9282
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
211000198
IL
335E00000X
Prosthetic/Orthotic Supplier
213000216
IL
Other
Enumeration date
04/02/2014
Last updated
05/23/2025
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