OrganizationActive
Central Illinois Center for Wellness, LLC
NPI 1104391739 · Primary Care Clinic/Center · Bloomington, IL
Provider details
- NPI number
- 1104391739
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- William Ray, Physician/Owner(309) 807-5356
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
2501 E College Ave Ste C
Bloomington, IL 61704-2484
Phone: (309) 807-5356
Fax: (309) 807-5291
Approximate (ZIP-level) locationGet directions
Mailing address
2501 E College Ave Ste C
Bloomington, IL 61704-2484
Registry dates
- Enumerated
- 2018-10-10
- Last updated
- 2024-08-01
- Certified
- 2024-08-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.