institution
Foot & Ankle Associates Of Central Illinois Llc
Foot & Ankle Surgery Podiatrist in Jacksonville, Illinois
NPI 1043302144

Foot & Ankle Associates Of Central Illinois Llc is a Foot & Ankle Surgery Podiatrist based in Jacksonville, IL and is specialized in Foot & Ankle Surgery. Foot & Ankle Associates Of Central Illinois Llc practices in Jacksonville, IL. The NPI Number for Foot & Ankle Associates Of Central Illinois Llc is 1043302144 and holds a License No. (Illinois).

The current practice location address for Foot & Ankle Associates Of Central Illinois Llc is 1515 W Walnut St, Jacksonville, IL and can be reached out via phone at 217-243-1101 and via fax at 217-243-5003.

Location: 1515 W Walnut St, Jacksonville, IL, 62650-1150
institution
Provider Profile Details
NPI Number
1043302144
Provider Name
Foot & Ankle Associates Of Central Illinois Llc
Credential
Provider Entity Type
Organization
Address
1515 W Walnut St, Jacksonville, IL, 62650-1150
Phone Number
217-243-1101
Fax Number
217-243-5003
Provider Enumeration Date
09/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
06932011 01 IL BCBS
DA1788 01 IL GROUP RAILROAD MEDICARE #
institution
Provider Business Practice Location Address Details
Address
1515 W Walnut St
City
State
Zip
62650-1150
Phone Number
217-243-1101
Fax Number
217-243-5003
person
Provider Business Mailing Address Details
Address
1515 W Walnut St
City
State
Zip
62650-1150
Phone Number
217-243-1101
Fax Number
217-243-5003
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
(Illinois)
Definition
Definition to come...
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