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Omnicare Labs Of Champaign Inc
Prosthetic/Orthotic Supplier in Mattoon, Illinois
NPI 1972921302

Omnicare Labs Of Champaign Inc is a Prosthetic/Orthotic Supplier based in Urbana, IL. Omnicare Labs Of Champaign Inc practices in Mattoon, IL. The NPI Number for Omnicare Labs Of Champaign Inc is 1972921302 and holds a License No. 211000198 (Illinois).

The current practice location address for Omnicare Labs Of Champaign Inc is 201 Richmond Ave E, Mattoon, IL and can be reached out via phone at 217-235-6664 and via fax at 217-235-6655.

Location: 201 Richmond Ave E, Mattoon, IL, 61801-4220
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1972921302
Provider Name
Omnicare Labs Of Champaign Inc
Credential
Provider Entity Type
Organization
Address
201 Richmond Ave E, Mattoon, IL, 61801-4220
Phone Number
217-235-6664
Fax Number
217-235-6655
Provider Enumeration Date
04/02/2014
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
201 Richmond Ave E
City
Mattoon
State
Illinois
Zip
61938-4665
Phone Number
217-235-6664
Fax Number
217-235-6655
person
Provider Business Mailing Address Details
Address
201 Richmond Ave E
City
Mattoon
State
Illinois
Zip
61938-4665
Phone Number
217-235-6664
Fax Number
217-235-6655
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
211000198 (Illinois)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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