CENTRAL ILLINOIS CENTER FOR WELLNESS, LLC

NORMAL, IL
NPI1104391739
Entity TypeOrganization
Authorized ContactWILLIAM JOHN RAY
Physician/Owner
309-807-5356
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
Enumeration Date2018-10-10
Last Update Date2018-10-10
Business Address
CENTRAL ILLINOIS CENTER FOR WELLNESS, LLC
2005 JACOBSSEN DR STE A
NORMAL, IL 61761-6288
Phone number: 309-807-5356
Mailing Address
CENTRAL ILLINOIS CENTER FOR WELLNESS, LLC
2005 JACOBSSEN DR STE A
NORMAL, IL 61761-6288
Phone number: 309-807-5356