MEDICARE: CARLE HEALTH CARE INCORPORATED

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1932422565
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARLE HEALTH CARE INCORPORATED

Provider Business Mailing Address
First Line	:	PO BOX 6002
Second Line	:
City	:	URBANA
State	:	IL
Zip	:	61803-6002
Country	:	US
Telephone Number	:	217-893-7700
Fax Number	:

Provider Business Practice Location Address
First Line	:	1540 E GROVE AVE
Second Line	:
City	:	RANTOUL
State	:	IL
Zip	:	61866-2736
Country	:	US
Telephone Number	:	217-893-7700
Fax Number	:

Authorized Official
Title or Position	:	VICE CHAIRMAN
Name	:	JOHN SNYDER
Credential	:
Telephone Number	:	217-326-8300

Provider Enumeration Date	:	03/10/2010
Last Update Date	:	12/09/2010

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Directions to “CARLE HEALTH CARE INCORPORATED ” Practice Location

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