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1104391739
CENTRAL ILLINOIS CENTER FOR WELLNESS, LLC
BLOOMINGTON, IL
NPI
1104391739
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Entity Type
Organization
Authorized Contact
WILLIAM JOHN RAY
Physician/Owner
309-807-5356
Organization Subpart ?
No
Primary Taxonomy
261QP2300X Clinic/Center Primary Care
Enumeration Date
2018-10-10
Last Update Date
2024-08-01
Business Address
CENTRAL ILLINOIS CENTER FOR WELLNESS, LLC
2501 E COLLEGE AVE STE C
BLOOMINGTON, IL 61704-2484
Phone number: 309-807-5356
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Mailing Address
CENTRAL ILLINOIS CENTER FOR WELLNESS, LLC
2501 E COLLEGE AVE STE C
BLOOMINGTON, IL 61704-2484
Phone number: 309-807-5356
Copy
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