Organization · Type 2 NPI

KC Eating Disorder Clinic PLLC

Clinic/Center · Champaign, IL

NPI number 1326927971 Active

Practice location

313 N Mattis Ave
Champaign, IL 61821-2460

Call (217) 377-0299 Map

Mailing address

203 Flora Dr
Champaign, IL 61821-3212

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801XNone listed
Multi-Specialty Clinic/Center 261QM1300XNone listed
Psychiatric/Mental Health Nurse Practitioner 363LP0808XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

5 other providers at this address

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About NPI 1326927971

KC Eating Disorder Clinic PLLC's National Provider Identifier is 1326927971, issued on Aug 28, 2025. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Champaign, IL. The record was last updated on Aug 28, 2025.