Organization · Type 2 NPI
Rejuv Champaign PC
Clinic/Center · Champaign, IL
NPI number
1356601629
Active
Practice location
606 North County Fair Drive, A
Champaign, IL 61820
Mailing address
405 N Hershey Rd
Bloomington, IL 61704-3527
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | 209005824 (IL) |
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).
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About NPI 1356601629
Rejuv Champaign PC's National Provider Identifier is 1356601629, issued on May 21, 2012. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Champaign, IL. The record was last updated on May 21, 2012.