CHAMPAIGN INTEGRATIVE CLINIC, PLLC
NPI 1205777109
Nurse Practitioner - Primary Care in Champaign, IL

Q: What is Champaign Integrative Clinic, PLLC's NPI number?

The NPI number for Champaign Integrative Clinic, PLLC is 1205777109. It was assigned to this organization in the NPPES registry on April 3, 2026.

Q: What is Champaign Integrative Clinic, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Active since April 03, 2026

3115 VILLAGE OFFICE PL, CHAMPAIGN, IL 61822(217) 531-4101 Get Directions Write a Review

NPPES record last updated: April 3, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Champaign Integrative Clinic, Pllc NPPES

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

CHAMPAIGN INTEGRATIVE CLINIC, PLLC (NPI 1205777109) is a healthcare organization registered as a primary care in Champaign, Illinois and active in the NPI registry since April 2026. The organization lists Ted Nemecz, Cfo, as its authorized official.

NPPES Registry Identity

NPI1205777109

Entity TypeOrganization

Primary Taxonomy363LP2300X

Legal Business NameCHAMPAIGN INTEGRATIVE CLINIC, PLLC

Location Address3115 VILLAGE OFFICE PLChampaign, IL 61822-7673

Mailing Address3115 Village Office PlChampaign, IL 61822-7673 · (217) 531-4101

Phone(217) 531-4101

Organization SubpartNo

Authorized OfficialTed NemeczCfo · (217) 637-5171

Enumeration DateApril 3, 2026

NPPES CertifiedApril 3, 2026

✔ NPI 1205777109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

Also ListedCounselorTaxonomy 101Y00000X

Also ListedNurse PractitionerTaxonomy 363L00000X

3115 VILLAGE OFFICE PL, Champaign, IL 61822

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

JULIE P BIRKY

Counselor (Mental Health)

3115 VILLAGE OFFICE PL
CHAMPAIGN, IL 61822

Champaign County (815) 483-5345

JAMI KOHLMANN LMT

Massage Therapist

3115 VILLAGE OFFICE PL
CHAMPAIGN, IL 61822

Champaign County (217) 531-4101

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 Champaign Integrative Clinic, PLLC's NPI number?

The NPI number for Champaign Integrative Clinic, PLLC is 1205777109. It was assigned to this organization in the NPPES registry on April 3, 2026.

Where is Champaign Integrative Clinic, PLLC located?

Champaign Integrative Clinic, PLLC is located at 3115 Village Office Pl, Champaign, IL 61822. The listed phone number is (217) 531-4101.

What is Champaign Integrative Clinic, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Champaign Integrative Clinic, PLLC was last updated on April 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.