UNIVERSITY OF ILLINOIS URBANA-CHAMPAIGN

NPI # 

Practice Address:

1109 S Lincoln Ave , Mc-026

Urbana, IL, 61801-4703

Practice Phone:

217-333-2711

Practice Fax:

217-244-1758

License Number:

036105311

License State:

IL

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Student Health

Taxonomy Code:

261QS1000X