Square 1 Healthcare Company | |
511 N Neil St Champaign IL 61820-3688 | |
(815) 408-0833 | |
Not Available |
Full Name | Square 1 Healthcare Company |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 511 N Neil St, Champaign, Illinois |
Authorized Official Name and Position | Arun Abraham (PRESIDENT) |
Authorized Official Contact | 2179530352 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Square 1 Healthcare Company 401 Clipper Rd Springfield IL 62711-8010 Ph: (217) 953-0352 | Square 1 Healthcare Company 511 N Neil St Champaign IL 61820-3688 Ph: (815) 408-0833 |
NPI Number | 1467231589 |
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Provider Enumeration Date | 09/27/2023 |
Last Update Date | 09/27/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467231589 | NPI | - | NPPES |
1255578316 | Medicaid | IL | |
1841767084 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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