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

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000X209005824 (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.