MEDICARE: CHRISTIE CLINIC, PLLC

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	:	1609466366
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHRISTIE CLINIC, PLLC

Provider Business Mailing Address
First Line	:	101 W UNIVERSITY AVE
Second Line	:
City	:	CHAMPAIGN
State	:	IL
Zip	:	61820-3981
Country	:	US
Telephone Number	:	217-366-8107
Fax Number	:

Provider Business Practice Location Address
First Line	:	1710 E WINDSOR RD
Second Line	:
City	:	URBANA
State	:	IL
Zip	:	61802-9564
Country	:	US
Telephone Number	:	217-344-9440
Fax Number	:

Authorized Official
Title or Position	:	CMO
Name	:	ANDREW BARTLETT
Credential	:	DO
Telephone Number	:	217-366-0722

Provider Enumeration Date	:	01/26/2021
Last Update Date	:	02/10/2026

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Directions to “CHRISTIE CLINIC, PLLC ” Practice Location

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