| Carle Foundation Hospital | |
|
602 W University Ave Sc-2 Urbana IL 61801-2530 | |
| (217) 383-3302 | |
| Not Available |
| Full Name | Carle Foundation Hospital |
|---|---|
| Speciality | Family Medicine |
| Location | 602 W University Ave, Urbana, Illinois |
| Authorized Official Name and Position | Bharat Gopal (PROGRAM DIRECTOR) |
| Authorized Official Contact | 2173833302 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carle Foundation Hospital 602 W University Ave Sc-2 Urbana IL 61801-2530 Ph: (217) 383-3302 | Carle Foundation Hospital 602 W University Ave Sc-2 Urbana IL 61801-2530 Ph: (217) 383-3302 |
| NPI Number | 1427225044 |
|---|---|
| Provider Enumeration Date | 05/13/2008 |
| Last Update Date | 05/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427225044 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 125-050-441 (Illinois) | Primary |
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