Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Public Health or Welfare |
251K00000X | 60 | Public Health or Welfare Agency |
| NPI # | 1851560791 |
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| LBN Legal business name | CHAMPAIGN URBANA PUBLIC HEALTH DEPARTMENT | ||||||||||||
| Authorized official | JULIE PRYDE - (INTERM ADMINISTRATOR) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 02/25/2008 | ||||||||||||
| Last updated | 09/23/2008 - About 18 years ago | ||||||||||||
| Identifiers |
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| CHAMPAIGN URBANA PUBLIC HEALTH DISTRICT 201 W KENYON RD CHAMPAIGN, IL |
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