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Promise Healthcare Nfp
Primary Care Clinic/Center in Rantoul, Illinois
NPI 1629846928

Promise Healthcare Nfp is a Primary Care Clinic/Center based in Champaign, IL and is specialized in Primary Care. Promise Healthcare Nfp practices in Rantoul, IL. The NPI Number for Promise Healthcare Nfp is 1629846928 and holds a License No. (Illinois).

The current practice location address for Promise Healthcare Nfp is 424 E Wabash Ave, Rantoul, IL and can be reached out via phone at 217-356-1558.

Location: 424 E Wabash Ave, Rantoul, IL, 61820-2101
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629846928
Provider Name
Promise Healthcare Nfp
Credential
Provider Entity Type
Organization
Address
424 E Wabash Ave, Rantoul, IL, 61820-2101
Phone Number
217-356-1558
Fax Number
Provider Enumeration Date
12/15/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
424 E Wabash Ave
City
Rantoul
State
Illinois
Zip
61866-3013
Phone Number
217-356-1558
Fax Number
person
Provider Business Mailing Address Details
Address
424 E Wabash Ave
City
Rantoul
State
Illinois
Zip
61866-3013
Phone Number
217-356-1558
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
261QM1300X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
()
Definition
Definition to come...
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