Central Illinois Center For Wellness, Llc

LBN: Central Illinois Center For Wellness, Llc
Central Illinois Center For Wellness, Llc is an health care organization with primary practice located at 2005 Jacobssen Dr Ste A , Normal IL 61761-6288. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Central Illinois Center For Wellness, Llc can be contacted via phone (309) 807-5356, or through Ray, William John via phone (309) 807-5356.

Contact Information

Primary practice address
2005 Jacobssen Dr Ste A Normal IL 61761-6288
Phone: (309) 807-5356
Fax: (309) 807-5291
Website:
Map and Directions
Authorized official contact:
Name: Ray, William John Doctor of Medicine (MD)
Phone: (309) 807-5356

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1104391739
LBN Legal business name Central Illinois Center For Wellness, Llc
DBA Doing business as
Authorized official Ray, William John Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 10th, 2018
Last updated Oct 10th, 2018 - about 6 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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