| University Of Illinois At Urbana-champaign | |
|
611 W Park St Urbana IL 61801-2500 | |
| (217) 383-3110 | |
| Not Available |
| Full Name | University Of Illinois At Urbana-champaign |
|---|---|
| Speciality | Internal Medicine |
| Location | 611 W Park St, Urbana, Illinois |
| Authorized Official Name and Position | Robert Healy (PROGRAM DIRECTOR) |
| Authorized Official Contact | 2173833110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Of Illinois At Urbana-champaign 611 W Park St Urbana IL 61801-2500 Ph: (217) 383-3110 | University Of Illinois At Urbana-champaign 611 W Park St Urbana IL 61801-2500 Ph: (217) 383-3110 |
| NPI Number | 1861663288 |
|---|---|
| Provider Enumeration Date | 03/13/2008 |
| Last Update Date | 03/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861663288 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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