CARLE CLINIC ASSOCIATION, PC (NPI# 1992957633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992957633 |
| Entity Type | Organization |
| Organization Name | CARLE CLINIC ASSOCIATION, PC |
| Practice Address |
1701 E Curtis Rd Champaign IL 61822-9678 |
| Practice Telephone | 2173656210 |
| Mailing Telephone | 2173656210 |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2008-10-14 |
| Authorized Official Name | KIRK MOBERG (SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 2173374105 |
| Authorized Official Credential | MD, PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 060004307 | IL | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1306977863 | Carle Clinic Association, PC | Durable Medical Equipment & Medical Supplies | 503 N Maple St, Effingham, IL 62401-2006 | 2007-03-08 |
| Street Address |
1701 E CURTIS RD |
| City | CHAMPAIGN |
| State | IL |
| Zip Code | 61822-9678 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083180830 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 2718 N Prospect Avenue, Champaign, IL 61822 | 2018-10-19 |
| 1487129730 | Siegfred T. Celis | Occupational Therapy Assistant | 1820 Oak Park Drive, Champaign, IL 61822 | 2018-10-12 |
| 1134633746 | Osf Healthcare System | Home Health | 1501 Interstate Dr Ste C, Champaign, IL 61822 | 2017-11-20 |
| 1386164200 | Carlo Sandico | Physical Therapist | 612 Corey Lane, Champagne, IL 61822 | 2017-06-21 |
| 1295270288 | Jennifer Lee Lugo | Registered Nurse | 3101 Fields South Dr., Champaign, IL 61822 | 2016-12-29 |
| 1902341209 | Jala Simmons | Behavioral Analyst | 4112 Fieldstone Rd, Suite B, Champaign, IL 61822 | 2016-12-22 |
| 1639552433 | Muhammad Ajmal | Internal Medicine | 1701 Curtis Road, Carle Clinic, Champaign, IL 61822 | 2015-06-30 |
| 1518363761 | Margaret A. Hallden | Hearing Instrument Specialist | 3354 Big Pine Trail #c, Audibel Hearing Aids, Champaign, IL 61822 | 2014-11-17 |
| 1801291638 | Kristen Karlsen | Pharmacist | 3114 Village Office Place, Champaign, IL 61822 | 2014-10-22 |
| 1649601543 | Jeff Chu | Optometrist | 507 W. Town Center Blvd, Champaign, IL 61822 | 2013-12-03 |
| Find all providers in zip 61822 | ||||
| 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 |
|---|---|---|---|---|
| 1619213097 | Independence Holding Co LLC | Durable Medical Equipment & Medical Supplies | 14 E Washington St Ste C, Champaign, IL 61820-3677 | 2012-12-12 |
| 1235404245 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1801 W Windsor Rd Ste 101, Champaign, IL 61822 | 2012-03-09 |
| 1558636555 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 101 W University Ave Ste 102, Champaign, IL 61820-3909 | 2012-03-09 |
| 1568754695 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1701 Curtis Rd Ste 1024, Champaign, IL 61822 | 2011-05-09 |
| 1750670808 | Evelyn Marie Moore O.d., P.C. | Durable Medical Equipment & Medical Supplies | 501 S Mattis Ave, Suite B, Champaign, IL 61821-4274 | 2011-03-29 |
| 1912231036 | Mobility Center of Chicago | Durable Medical Equipment & Medical Supplies | 706 Bloomington Rd, Champaign, IL 61820-2563 | 2009-09-22 |
| 1023167624 | Confidentially Yours, Inc | Durable Medical Equipment & Medical Supplies | 1808 Round Barn Rd Ste B, Champaign, IL 61821-6817 | 2007-01-10 |
| 1982782249 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 602 S Staley Rd, Ste A, Champaign, IL 61822-9674 | 2006-11-02 |
| 1669487773 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2402 Village Green Pl, Champaign, IL 61822-7681 | 2006-07-29 |
| 1871510156 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 2610 N Prospect Ave, Champaign, IL 61822-1251 | 2006-07-16 |
| Find all providers in CHAMPAIGN | ||||
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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.