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1467074138
CARLE WEST PHYSICIAN GROUP INC
NORMAL, IL
NPI
1467074138
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Entity Type
Organization
Authorized Contact
JAMES C LEONARD
President
217-383-3468
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2020-05-15
Last Update Date
2020-05-15
Business Address
CARLE WEST PHYSICIAN GROUP INC
1302 FRANKLIN AVE STE 3400
NORMAL, IL 61761-6523
Phone number: 309-556-8295
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Mailing Address
CARLE WEST PHYSICIAN GROUP INC
611 W PARK ST
URBANA, IL 61801-2529
Phone number: 217-383-6792
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