| Kc Eating Disorder Clinic Pllc | |
|
313 N Mattis Ave Champaign IL 61821-2460 | |
| (217) 377-0299 | |
| Not Available |
| Full Name | Kc Eating Disorder Clinic Pllc |
|---|---|
| Speciality | Clinic/center |
| Location | 313 N Mattis Ave, Champaign, Illinois |
| Authorized Official Name and Position | Kaitlyn Cornell (CEO) |
| Authorized Official Contact | 2176210766 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kc Eating Disorder Clinic Pllc 203 Flora Dr Champaign IL 61821-3212 Ph: (217) 621-0766 | Kc Eating Disorder Clinic Pllc 313 N Mattis Ave Champaign IL 61821-2460 Ph: (217) 377-0299 |
| NPI Number | 1326927971 |
|---|---|
| Provider Enumeration Date | 08/28/2025 |
| Last Update Date | 08/28/2025 |
| Certification Date | 08/28/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326927971 | NPI | - | NPPES |
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