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Square 1 Healthcare Company
Primary Care Clinic/Center in Champaign, Illinois
NPI 1467231589

Square 1 Healthcare Company is a Primary Care Clinic/Center based in Springfield, IL and is specialized in Primary Care. Square 1 Healthcare Company practices in Champaign, IL. The NPI Number for Square 1 Healthcare Company is 1467231589 and holds a License No. (Illinois).

The current practice location address for Square 1 Healthcare Company is 511 N Neil St, Champaign, IL and can be reached out via phone at 815-408-0833.

Location: 511 N Neil St, Champaign, IL, 62711-8010
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1467231589
Provider Name
Square 1 Healthcare Company
Credential
Provider Entity Type
Organization
Address
511 N Neil St, Champaign, IL, 62711-8010
Phone Number
815-408-0833
Fax Number
Provider Enumeration Date
09/27/2023
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1255578316 05 IL
1841767084 05 IL
institution
Provider Business Practice Location Address Details
Address
511 N Neil St
City
Champaign
State
Illinois
Zip
61820-3688
Phone Number
815-408-0833
Fax Number
person
Provider Business Mailing Address Details
Address
511 N Neil St
City
Champaign
State
Illinois
Zip
61820-3688
Phone Number
815-408-0833
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
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Definition
Definition to come...
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