CARLE CLINIC ASSOCIATION, PC (NPI# 1326178211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326178211 |
| Entity Type | Organization |
| Organization Name | CARLE CLINIC ASSOCIATION, PC |
| Practice Address |
1001 Heather Dr Mahomet IL 61853-2754 |
| Practice Telephone | 2175868400 |
| Mailing Telephone | 2175868400 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KIRK MOBERG (SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 2173833311 |
| Authorized Official Credential | M.D., PH.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | IL | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992957633 | Carle Clinic Association, PC | Durable Medical Equipment & Medical Supplies | 1701 E Curtis Rd, Champaign, IL 61822-9678 | 2008-10-14 |
| 1700917309 | Carle Clinic Association, PC | Durable Medical Equipment & Medical Supplies | 2003 Philo Rd, Urbana, IL 61802-8007 | 2007-03-08 |
| 1548391014 | Carle Clinic Association, PC | Durable Medical Equipment & Medical Supplies | 301 E Southline Rd, Tuscola, IL 61953-2014 | 2007-03-08 |
| 1730219627 | Carle Clinic Association, PC | Durable Medical Equipment & Medical Supplies | 4000 Green Apple Lane, Monticello, IL 61856-1175 | 2007-03-07 |
| 1801048541 | Carle Clinic Association, PC | Durable Medical Equipment & Medical Supplies | 1818 E Windsor Rd, Urbana, IL 61802-9566 | 2008-10-14 |
| 1942489141 | Carle Clinic Association, PC | Durable Medical Equipment & Medical Supplies | 311 W Fairchild St, Danville, IL 61832-3876 | 2007-10-24 |
| 1649466186 | Carle Clinic Association, PC | Durable Medical Equipment & Medical Supplies | 610 N Lincoln Ave, Urbana, IL 61801-2432 | 2007-09-19 |
| 1295855088 | Carle Clinic Association, PC | Family Medicine | 301 E Southline Rd, Tuscola, IL 61953-2014 | 2007-03-29 |
| 1093835886 | Carle Clinic Association, PC | Family Medicine | 2300 N Vermilion St, Danville, IL 61832-1735 | 2007-03-29 |
| 1003947557 | Carle Clinic Association, PC | Durable Medical Equipment & Medical Supplies | 1802 S Mattis Ave, Champaign, IL 61821-5923 | 2007-03-08 |
| Street Address |
1001 HEATHER DR |
| City | MAHOMET |
| State | IL |
| Zip Code | 61853-2754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013934991 | Katherine Loutrel | Family Medicine | 1001 Heather Dr, Mahomet, IL 61853-2754 | 2006-07-16 |
| 1295394435 | Kelsey Ross | Physical Therapist | 1001 Heather Dr, Mahomet, IL 61853-2754 | 2019-06-11 |
| 1477993053 | Nicole L Arnold | Family Medicine | 1001 Heather Dr, Mahomet, IL 61853-2754 | 2013-06-27 |
| 1659617561 | Lara B Bartels | Physician Assistant | 1001 Heather Dr, Mahomet, IL 61853-2754 | 2012-12-20 |
| 1003108135 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1001 Heather Dr, Mahomet, IL 61853-2754 | 2011-05-09 |
| 1295058824 | Carle Health Care Incorporated | Durable Medical Equipment & Medical Supplies | 1001 Heather Dr, Mahomet, IL 61853-2754 | 2010-03-10 |
| 1174733034 | Carl A Sather | Internal Medicine | 1001 Heather Dr, Mahomet, IL 61853-2754 | 2007-05-22 |
| 1417174145 | Jodi R Butler | Pharmacist | 1001 Heather Dr, Mahomet, IL 61853-2754 | 2007-04-20 |
| 1093831596 | Pamela A Scott | Physical Therapist | 1001 Heather Dr, Mahomet, IL 61853-2754 | 2007-03-22 |
| 1598881591 | Noelle E Meyer | Physical Therapist | 1001 Heather Dr, Mahomet, IL 61853-2754 | 2007-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114437365 | Kurtz Counseling, LLC | Social Worker | 207 E Oak Street, Suite E, Mahomet, IL 61853 | 2017-10-02 |
| 1538378757 | Gray Clinic of Chiropractic, Ltd | Chiropractor | 207 E. Oak St, Mahomet, IL 61853 | 2007-05-22 |
| 1730391269 | Downstate Chiropractic Center | Chiropractor | 1002 Commercial Drive, Suite 4, Mahomet, IL 61853 | 2007-05-04 |
| 1861547515 | John Thomas Karich | Dentist | 406 E Oak St, Mahomet, IL 61853 | 2007-01-24 |
| 1700975653 | Nezar Ahmed Kassem | Dentist | 2012 Tin Cup Road, Suite B, Mahomet, IL 61853 | 2006-10-11 |
| 1285737957 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 804 B Eastwood Drive, Mahomet, IL 61853 | 2006-09-07 |
| 1083663918 | Randall A Megeff | Emergency Medicine | 1001 Heather Drive, Mahomet, IL 61853 | 2006-05-08 |
| 1811129836 | Laughton Chiropractic Clinic, LLC | Chiropractor | 417 Main Street, Mahomet, IL 61853 | 2009-08-10 |
| 1629227392 | Valerie Woodruff Dds PC | Dentist | 200 N Eastwood Drive, Mahomet, IL 61853 | 2008-09-17 |
| 1386721090 | Jean L Husmann | Physician Assistant | 1001 Heather Drive, Mahomet, IL 61853 | 2006-11-01 |
| Find all providers in zip 61853 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710119201 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 104 N Lombard St, Mahomet, IL 61853-9097 | 2009-08-17 |
| 1285737957 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 804 B Eastwood Drive, Mahomet, IL 61853 | 2006-09-07 |
| 1003108135 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1001 Heather Dr, Mahomet, IL 61853-2754 | 2011-05-09 |
| 1295058824 | Carle Health Care Incorporated | Durable Medical Equipment & Medical Supplies | 1001 Heather Dr, Mahomet, IL 61853-2754 | 2010-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730250 | Quantum Prosthetics & Orthotics | Durable Medical Equipment & Medical Supplies | 9050 W 81st St Ste 300, Justice, IL 60458-1350 | 2020-11-05 |
| 1164022901 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 10090 Route 47, Huntley, IL 60142 | 2020-10-30 |
| 1003415514 | Brandon M Hudson | Durable Medical Equipment & Medical Supplies | 185 N Franklin St Fl 3, Chicago, IL 60606-1932 | 2020-10-26 |
| 1538768882 | Elect Logistics LLC | Durable Medical Equipment & Medical Supplies | 1318 S 61st Ave, Cicero, IL 60804-1011 | 2020-10-19 |
| 1679170757 | Medical Service Companies | Durable Medical Equipment & Medical Supplies | 5201 Walnut Ave Ste 6, Downers Grove, IL 60515-4071 | 2020-10-02 |
| 1588271910 | Cell Store One1 Inc | Durable Medical Equipment & Medical Supplies | 3727 Highknob Cir, Naperville, IL 60564-4423 | 2020-09-29 |
| 1689281131 | Chloe Powell | Durable Medical Equipment & Medical Supplies | 307 W Park Dr Apt B, Belleville, IL 62226-4753 | 2020-09-29 |
| 1083220396 | Aeroflow Inc. | Durable Medical Equipment & Medical Supplies | 210 N Hammes Ave Ste 103a, Joliet, IL 60435-6688 | 2020-09-22 |
| 1568077212 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 1206 East 9th Street, Ortho/spine Suite 103, Lockport, IL 60441-6044 | 2020-09-10 |
| 1295348084 | Windy City Rehab Specialists LLC | Durable Medical Equipment & Medical Supplies | 1530 S State St Ste C003, Chicago, IL 60605-2964 | 2020-08-31 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.