Provider First Line Business Mailing Address:
611 W. PARK STREET
Provider Second Line Business Mailing Address:
PEDIATRIC SPECIALTIES, CARLE
Provider Business Mailing Address City Name:
URBANA
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
61801
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
217-383-3100
Provider Business Mailing Address Fax Number:
217-383-4468