Christie Clinic Amblatory Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

CHRISTIE CLINIC AMBLATORY SURGERY CENTER LLC

Practice address

101 W University Ave
Champaign, IL 61820-3909

Phone

(217) 366-1270

NPI assigned

Apr 9, 2008

Organization subpart

Yes

Parent organization

CHRISTIE CLINIC, PCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

R. Alan Gleghorn

Title

Ceo

Phone

(217) 366-5201

Specialties & licenses 1

Addresses

Part of

Christie Clinic Assoc

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1538332648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W UNIVERSITY AVE",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618203909",
            "telephone_number": "217-366-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W UNIVERSITY AVE",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618203909",
            "telephone_number": "217-366-1270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIE CLINIC AMBLATORY SURGERY CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHRISTIE CLINIC, PC",
        "enumeration_date": "2008-04-09",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "GLEGHORN",
        "authorized_official_first_name": "R. ALAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "217-366-5201"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Archana Chopra, M.D
• Doriece Choy, LCSW
• Caroline Caitlin Christian, LCPC
• Samantha Christianson
• Christie Clinic
• Christie Clinic Pathology LLC
• Christie Clinic, PLLC
• Christie Clinic, PLLC
• Christie Clinic, PLLC
• Christie Pharmacy Champaign LLC

• Ambulatory Surgical Clinic/Center in Champaign, IL
• Providers in Champaign, IL by specialty
• Ambulatory Surgical Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.