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.
|Practice Location|| 4000 Green Apple Lane, Monticello, IL 61856-1175, US |
|Practice Location Phone||217-762-2518|
|Practice Location Fax|
|Legal Business Name||CARLE CLINIC ASSOCIATION, PC|
|Enumeration Date ? ||Mar 7, 2007|
|Last Update Date ? ||Sep 4, 2009|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
Specialties & Licenses of Carle Clinic Association, Pc
|Specialty||Provider Type||Specialization||License||License State|
|Durable Medical Equipment & Medical Supplies||Suppliers|| ||060009052||Illinois|
Legacy Provider IDs of Carle Clinic Association, Pc
|Provider Id||Issuer State||Issuer Type||Issuer|
|754210||Illinois||Medicare Id-type Unspecified|
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/Position||SENIOR VICE PRESIDENT|
|Authorized Official Phone Number||217-383-3311|