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CARLE CLINIC ASSOCIATION, PC
NPI 1003947557
Durable Medical Equipment & Medical Supplies in Champaign, IL

Active since March 08, 2007
1802 S MATTIS AVE, CHAMPAIGN, IL 61821(217) 326-1220 Get Directions Write a Review

NPPES record last updated: December 30, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Carle Clinic Association, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARLE CLINIC ASSOCIATION, PC (NPI 1003947557) is a healthcare organization registered as a durable medical equipment & medical supplies in Champaign, Illinois and active in the NPI registry since March 2007. The organization lists Kirk Moberg, Senior Vice President, as its authorized official.

NPPES Registry Identity

NPI1003947557
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameCARLE CLINIC ASSOCIATION, PC
Location Address1802 S MATTIS AVEChampaign, IL 61821-5923
Mailing Address1802 S Mattis AveChampaign, IL 61821-5923 · (217) 326-1220
Phone(217) 326-1220
Organization SubpartNo
Authorized OfficialKirk MobergSenior Vice President · (217) 383-3311
Enumeration DateMarch 8, 2007
Last NPPES UpdateDecember 30, 2010
✔ NPI 1003947557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
License✔ Licensed in IL · 060004307
Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

1802 S MATTIS AVE, Champaign, IL 61821
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Other Identifiers 2

Medicare ID-Type Unspecified754210, 407270IL
Medicare NSC0533210001IL

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RACHAEL D RUBIN PHD
Psychologist
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
Champaign County (217) 255-9580
DR. GABRIEL SOTOMAYOR M.D.
Physical Medicine & Rehabilitation
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
Champaign County (217) 902-6954
KRISTINE S ANDERSON PA
Physician Assistant (Surgical)
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
Champaign County (217) 383-3260
DR. JOHN P BAKER PHD
Psychologist
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
Champaign County (217) 365-2855
SELAHATTIN GOKTURK M.A
Social Worker (Clinical)
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
Champaign County (217) 383-1850
AMANDA GAUGLER
Social Worker (Clinical)
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
Champaign County (217) 365-2855
MS. LISA ANNETTE ELLINGWOOD APRN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
Champaign County (217) 365-2855
MARY K KIESEWETTER PMHNP
Nurse Practitioner
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
Champaign County (217) 365-2855

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carle Clinic Association, PC's NPI number?

The NPI number for Carle Clinic Association, PC is 1003947557. It was assigned to this organization in the NPPES registry on March 8, 2007.

Where is Carle Clinic Association, PC located?

Carle Clinic Association, PC is located at 1802 S Mattis Ave, Champaign, IL 61821. The listed phone number is (217) 326-1220.

What is Carle Clinic Association, PC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Carle Clinic Association, PC was last updated on December 30, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.