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Central Illinois Center For Wellness, Llc
Primary Care Clinic/Center in Normal, Illinois
NPI 1104391739

Central Illinois Center For Wellness, Llc is a Primary Care Clinic/Center based in Normal, IL and is specialized in Primary Care. Central Illinois Center For Wellness, Llc practices in Normal, IL. The NPI Number for Central Illinois Center For Wellness, Llc is 1104391739 and holds a License No. (Illinois).

The current practice location address for Central Illinois Center For Wellness, Llc is 2005 Jacobssen Dr Ste A, Normal, IL and can be reached out via phone at 309-807-5356 and via fax at 309-807-5291.

Location: 2005 Jacobssen Dr Ste A, Normal, IL, 61761-6288
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104391739
Provider Name
Central Illinois Center For Wellness, Llc
Credential
Provider Entity Type
Organization
Address
2005 Jacobssen Dr Ste A, Normal, IL, 61761-6288
Phone Number
309-807-5356
Fax Number
309-807-5291
Provider Enumeration Date
10/10/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2005 Jacobssen Dr Ste A
City
Normal
State
Illinois
Zip
61761-6288
Phone Number
309-807-5356
Fax Number
309-807-5291
person
Provider Business Mailing Address Details
Address
2005 Jacobssen Dr Ste A
City
Normal
State
Illinois
Zip
61761-6288
Phone Number
309-807-5356
Fax Number
309-807-5291
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
()
Definition
Definition to come...
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