Champaign Integrative Clinic, PLLC

Organization Active
NPI 1205777109
Primary Care Nurse Practitioner Champaign, IL

NPI 1205777109 belongs to Champaign Integrative Clinic, PLLC, a primary care nurse practitioner with a practice location in Champaign, IL. The NPI was issued on April 3, 2026, and the record was last updated in NPPES on April 3, 2026. The record lists 3 taxonomy codes.

Taxonomies and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300X Not listed
Counselor 101Y00000X Not listed
Nurse Practitioner 363L00000X Not listed

Practice location

3115 Village Office Pl
Champaign, IL 61822-7673
Phone: (217) 531-4101

Local context

Active NPPES records list 11 providers with primary care nurse practitioner as the primary taxonomy within 25 miles of this practice location's ZIP code, 10 of them within 10 miles.

The same primary taxonomy is listed by 297 in Illinois and 13,165 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Status
Active
NPI issued
Last updated in NPPES

Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.

NPPES data as of · Source: CMS NPPES

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