| David J Fletcher Md Llc | |
|
1806 N Market St Champaign IL 61822 | |
| (217) 356-6150 | |
| (217) 356-7167 |
| Full Name | David J Fletcher Md Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1806 N Market St, Champaign, Illinois |
| Authorized Official Name and Position | David J Fletcher (OWNER MEDICAL DIRECTOR) |
| Authorized Official Contact | 2173566150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David J Fletcher Md Llc 1806 N Market St Champaign IL 61822 Ph: (217) 356-6150 | David J Fletcher Md Llc 1806 N Market St Champaign IL 61822 Ph: (217) 356-6150 |
| NPI Number | 1508926684 |
|---|---|
| Provider Enumeration Date | 12/11/2006 |
| Last Update Date | 09/11/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508926684 | NPI | - | NPPES |
| 213008 | Medicaid | IL | |
| K25107 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Illinois) | Primary |
| 2083X0100X | Preventive Medicine - Occupational Medicine | (Illinois) | Secondary |
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