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Dr. Robert J Born, DPM
Podiatrist in Champaign, Illinois
NPI 1134170590

Robert J Born is a Podiatrist based in Urbana, IL. Robert J Born practices in Champaign, IL and has the professional credentials of DPM. The NPI Number for Robert J Born is 1134170590 and holds a License No. 016-003180 (Illinois).

The current practice location address for Robert J Born is 1802 S. Mattis Avenue, Champaign, IL and can be reached out via phone at 217-383-7676 and via fax at 217-383-4910.

Location: 1802 S. Mattis Avenue, Champaign, IL, 61803-6002
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134170590
Provider Name
Robert J Born
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
1802 S. Mattis Avenue, Champaign, IL, 61803-6002
Phone Number
217-383-7676
Fax Number
217-383-4910
Provider Enumeration Date
05/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
016-003180 05 IL
0533210001 01 IL DMERC
institution
Provider Business Practice Location Address Details
Address
1802 S. Mattis Avenue
City
Champaign
State
Illinois
Zip
61821
Phone Number
217-383-7676
Fax Number
217-383-4910
person
Provider Business Mailing Address Details
Address
1802 S. Mattis Avenue
City
Champaign
State
Illinois
Zip
61821
Phone Number
217-383-7676
Fax Number
217-383-4910
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
016-003180 (Illinois)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
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