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CARLE CLINIC ASSOCATION P.C. NPI 1255380846


NPI Information

NPI: 1255380846
Provider Name: CARLE CLINIC ASSOCATION, P.C.
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
602 W UNIVERSITY AVE
URBANA, IL
ZIP 61801
Phone: (217) 383-4636
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CARLE CLINIC ASSOCATION, P.C. is an internal medicine in Urbana, IL. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. CARLE CLINIC ASSOCATION, P.C. NPI is 1255380846. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

602 W UNIVERSITY AVE
URBANA, IL
ZIP 61801-530
Phone: (217) 383-4636

The provider's authorized official is Renita Jackson .
The authorized official title is Director, Financial Services and has the following contact phone number (217) 326-8210.

The enumeration date for this NPI number is 5/9/2006 and was last updated on 5/13/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207KA0200XAllergy & ImmunologyAllergyNo
2207L00000XAnesthesiologyNo
3207LA0401XAnesthesiologyAddiction MedicineNo
4207LC0200XAnesthesiologyCritical Care MedicineNo
5207N00000XDermatologyNo
6207P00000XEmergency MedicineNo
7207Q00000XFamily MedicineNo
8207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNo
9207RC0000XInternal MedicineCardiovascular DiseaseNo
10207RC0001XInternal MedicineClinical Cardiac ElectrophysiologyNo
11207RG0100XInternal MedicineGastroenterologyNo
12207RG0300XInternal MedicineGeriatric MedicineNo
13207RH0003XInternal MedicineHematology & OncologyNo
14207RI0001XInternal MedicineClinical & Laboratory ImmunologyNo
15207R00000XInternal MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1754210MEDICARE PINILLINOIS
20533210001MEDICARE NSCILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.