| C U Smile,llc | |
|
4906 Peifer Ln Champaign IL 61822-8321 | |
| (217) 531-1852 | |
| (217) 531-1853 |
| Full Name | C U Smile,llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4906 Peifer Ln, Champaign, Illinois |
| Authorized Official Name and Position | Nusrat Hawa (OWNER) |
| Authorized Official Contact | 2175311852 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| C U Smile,llc 4906 Peifer Ln Champaign IL 61822-8321 Ph: (217) 531-1852 | C U Smile,llc 4906 Peifer Ln Champaign IL 61822-8321 Ph: (217) 531-1852 |
| NPI Number | 1578862561 |
|---|---|
| Provider Enumeration Date | 03/16/2011 |
| Last Update Date | 03/16/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578862561 | NPI | - | NPPES |
| 6889 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 019025812 (Illinois) | Primary |
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