Community Elements Inc | |
801 N Walnut St Champaign IL 61820-3055 | |
(217) 373-2430 | |
Not Available |
Full Name | Community Elements Inc |
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Speciality | Community/behavioral Health |
Location | 801 N Walnut St, Champaign, Illinois |
Authorized Official Name and Position | Sheila Ferguson (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 2173988080 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Community Elements Inc 1801 Fox Dr Champaign IL 61820-7236 Ph: (217) 398-8080 | Community Elements Inc 801 N Walnut St Champaign IL 61820-3055 Ph: (217) 373-2430 |
NPI Number | 1497003453 |
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Provider Enumeration Date | 08/24/2012 |
Last Update Date | 09/23/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497003453 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | A-1801-0002-A (Illinois) | Primary |
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