OrganizationActive
Center for Health Renewal and Longevity LLC
NPI 1881835577 · Medical Specialty Clinic/Center · Champaign, IL
Provider details
- NPI number
- 1881835577
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kristy Krueger, Managed Care Coordinator(217) 784-2364
- License
- 209002058 (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
201 W Springfield Ave
Suite 206
Champaign, IL 61820-4834
Phone: (217) 955-9554
Approximate (ZIP-level) locationGet directions
Mailing address
201 W Springfield Ave
Champaign, IL 61820-4834
Registry dates
- Enumerated
- 2009-03-10
- Last updated
- 2017-10-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.