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	:	1801486550
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	:	300 N MAIN ST
Second Line	:
City	:	TUSCOLA
State	:	IL
Zip	:	61953-1406
Country	:	US
Telephone Number	:	217-253-9258
Fax Number	:

Authorized Official
Title or Position	:	CMO
Name	:	CANDACE MCGREGOR
Credential	:	MD
Telephone Number	:	217-366-1270

Provider Enumeration Date	:	01/26/2021
Last Update Date	:	12/22/2025

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Directions to “CHRISTIE CLINIC, PLLC ” Practice Location

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