CARLE FOUNDATION PHYSICIAN SERVICES, LLC

EFFINGHAM, IL
NPI1689946022
Entity TypeOrganization
Authorized ContactJAMES C LEONARD
CEO
217-326-4677
Organization Subpart ?No
Primary Taxonomy332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date2012-02-01
Last Update Date2012-05-08
Business Address
CARLE FOUNDATION PHYSICIAN SERVICES, LLC
401 N KELLER DR SUITES 3 & 4
EFFINGHAM, IL 62401-1881
Phone number: 217-347-6400
Mailing Address
CARLE FOUNDATION PHYSICIAN SERVICES, LLC
602 W UNIVERSITY AVE PROVIDER ENROLLMENT - NCW4
URBANA, IL 61801-2530
Phone number: 217-383-6792
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