| Womens Health Practice Llc | |
|
2109 S Neil St Champaign IL 61820-7266 | |
| (217) 356-3736 | |
| (217) 953-0885 |
| Full Name | Womens Health Practice Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 2109 S Neil St, Champaign, Illinois |
| Authorized Official Name and Position | Suzanne Trupin (CEO) |
| Authorized Official Contact | 2173563736 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Womens Health Practice Llc 2109 S Neil St Champaign IL 61820-7266 Ph: (217) 356-3736 | Womens Health Practice Llc 2109 S Neil St Champaign IL 61820-7266 Ph: (217) 356-3736 |
| NPI Number | 1316236573 |
|---|---|
| Provider Enumeration Date | 03/28/2011 |
| Last Update Date | 06/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316236573 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 00361763 (Illinois) | Primary |
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