Carle Clinic Association

LBN: Carle Clinic Association
Carle Clinic Association is an health care organization with primary practice located at 701 Krebs Dr , Champaign IL 61822. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Hospitals / General Acute Care Hospital. Hospitals / General Acute Care Hospital is the primary health care specialty. Carle Clinic Association can be contacted via phone (217) 355-7951, or through Kassabo, Zuheir via phone (217) 355-7951.

Contact Information

Primary practice address
701 Krebs Dr Champaign IL 61822
Phone: (217) 355-7951
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kassabo, Zuheir Doctor of Medicine (MD)
Phone: (217) 355-7951

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036-115508 Illinois
Hospitals / General Acute Care Hospital 282N00000X 036-115508 Illinois

Profile Details

NPI number 1609906999
LBN Legal business name Carle Clinic Association
DBA Doing business as
Authorized official Kassabo, Zuheir Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 6th, 2007
Last updated Aug 31st, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609906999 NPPES
Illinois MEDICAID 036115508
Illinois Other CA2264
Illinois Other 833120
Illinois Other P00729199

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