Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Champaign Integrative Clinic, PLLC

Organization Counselor · NPI 1205777109

Champaign Integrative Clinic, PLLC is a Counselor in Champaign, Illinois. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3115 Vlg Ofc PL
Champaign, IL 61822-7673
Phone: (217) 531-4101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X
Counselor Taxonomy 101Y00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1205777109
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ted Nemecz — Cfo · (217) 637-5171
NPI enumeratedApril 3, 2026
Last updated in NPPESApril 3, 2026
Certification dateApril 3, 2026
Mailing address3115 Village Office Pl, Champaign, IL 61822-7673

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