Carle Foundation Physician Services, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CARLE FOUNDATION PHYSICIAN SERVICES, LLC

Practice address

401 N Keller Dr
Suites 3 & 4
Effingham, IL 62401-1881

Phone

(217) 347-6400

NPI assigned

Feb 1, 2012

Organization subpart

No

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

Authorized official

Name

James C Leonard, MD

Title

Ceo

Phone

(217) 326-4677

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1328054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336435200000",
    "number": "1689946022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 W UNIVERSITY AVE",
            "address_2": "PROVIDER ENROLLMENT - NCW4",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618012530",
            "telephone_number": "217-383-6792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N KELLER DR",
            "address_2": "SUITES 3 & 4",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624011881",
            "telephone_number": "217-347-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLE FOUNDATION PHYSICIAN SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-01",
        "last_updated": "2012-05-08",
        "status": "A",
        "authorized_official_last_name": "LEONARD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "217-326-4677",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Elizabeth Carroll, MHP
• Larry J Carroll, CRNA, APN
• Jennifer Marie Castillo

• Durable Medical Equipment & Medical Supplies in Effingham, IL
• Providers in Effingham, 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 May 8, 2012; 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.