Christie Clinic, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CHRISTIE CLINIC, LLC

Doing business as

Christie Clinic, LLC

Practice address

209 W Borman Dr
Rantoul, IL 61866-3632

Phone

(217) 893-9671

NPI assigned

Jan 26, 2021

Last updated

Jan 26, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

William Pierce, DPM

Title

Cmo

Phone

(217) 366-8107

Specialties & licenses 1

Addresses

Other names 1

• Christie Clinic, LLC Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611619200000",
    "number": "1578153227",
    "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": "618203981",
            "telephone_number": "217-366-8107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 W BORMAN DR",
            "city": "RANTOUL",
            "state": "IL",
            "postal_code": "618663632",
            "telephone_number": "217-893-9671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-26",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "217-366-8107",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Christie Clinic, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Kim Collins-Dunham
• Community Elements, Inc
• Community Health Partnership of Illinois
• Community Health Partnership of Illinois
• Krista Nichole Covert, NP-C

• Durable Medical Equipment & Medical Supplies in Rantoul, IL
• Providers in Rantoul, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.