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Carle Clinic Association, Pc

Carle Clinic Association, Pc is a health care provider in Monticello, IL. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 4000 Green Apple Lane, Monticello, IL 61856-1175, US
Practice Location Phone217-762-2518
Practice Location Fax
Legal Business NameCARLE CLINIC ASSOCIATION, PC
NPI ?1730219627
Entity TypeOrganization
Enumeration Date ? Mar 7, 2007
Last Update Date ? Sep 4, 2009
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Carle Clinic Association, Pc

SpecialtySpecializationLicenseLicense State
Durable Medical Equipment & Medical Supplies 060009052Illinois

legacy-id-icon Legacy Provider IDs of Carle Clinic Association, Pc

Provider IdIssuer StateIssuer TypeIssuer
754210IllinoisMedicare Id-type Unspecified
0533210001IllinoisMedicare Nsc

official-icon Authorized Official of Carle Clinic Association, Pc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Carle Clinic Association, Pc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Kirk Moberg
Authorized Official Title/PositionSENIOR VICE PRESIDENT
Authorized Official Phone Number217-383-3311