Carle Foundation Hospital | |
602 W University Ave Sc-2 Urbana IL 61801-2530 | |
(217) 383-3170 | |
Not Available |
Full Name | Carle Foundation Hospital |
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Speciality | Family Medicine |
Location | 602 W University Ave, Urbana, Illinois |
Authorized Official Name and Position | Bharat Gopal (FAMILY MEDICINE RESIDENCY DIRECTOR) |
Authorized Official Contact | 2173833170 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Carle Foundation Hospital 602 W University Ave Sc-2 Urbana IL 61801-2530 Ph: (217) 383-3170 | Carle Foundation Hospital 602 W University Ave Sc-2 Urbana IL 61801-2530 Ph: (217) 383-3170 |
NPI Number | 1720250160 |
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Provider Enumeration Date | 03/26/2008 |
Last Update Date | 03/26/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720250160 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Illinois) | Primary |
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