| Carle At Watseka | |
|
1490 E Walnut St Suite C Watseka IL 60970-1806 | |
| (815) 432-8200 | |
| (815) 432-8201 |
| Full Name | Carle At Watseka |
|---|---|
| Speciality | Clinic/Center |
| Location | 1490 E Walnut St, Watseka, Illinois |
| Authorized Official Name and Position | Harry Brockus (CEO) |
| Authorized Official Contact | 2172838540 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carle At Watseka 611 W. Park St. Bwpc Urbana IL 61801-2500 Ph: (217) 383-6792 | Carle At Watseka 1490 E Walnut St Suite C Watseka IL 60970-1806 Ph: (815) 432-8200 |
| NPI Number | 1467549402 |
|---|---|
| Provider Enumeration Date | 10/10/2006 |
| Last Update Date | 05/12/2016 |
| Medicare PECOS PAC ID | 3577456037 |
|---|---|
| Medicare Enrollment ID | O20120814000494 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467549402 | NPI | - | NPPES |
| 210046 | Other | IL | WPS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 0004200 (Illinois) | Primary |
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