institution
Midwest Podiatry Group, Pc
Foot & Ankle Surgery Podiatrist in Peoria, Illinois
NPI 1184731663

Midwest Podiatry Group, Pc is a Foot & Ankle Surgery Podiatrist based in Peoria, IL and is specialized in Foot & Ankle Surgery. Midwest Podiatry Group, Pc practices in Peoria, IL. The NPI Number for Midwest Podiatry Group, Pc is 1184731663 and holds a License No. 016003172 (Illinois).

The current practice location address for Midwest Podiatry Group, Pc is 3827 N Prospect Rd, Peoria, IL and can be reached out via phone at 309-686-1000.

Location: 3827 N Prospect Rd, Peoria, IL, 61616-7767
institution
Provider Profile Details
NPI Number
1184731663
Provider Name
Midwest Podiatry Group, Pc
Credential
Provider Entity Type
Organization
Address
3827 N Prospect Rd, Peoria, IL, 61616-7767
Phone Number
309-686-1000
Fax Number
Provider Enumeration Date
08/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
016003172 05 IL
DA0891 01 IL RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
3827 N Prospect Rd
City
State
Zip
61616-7767
Phone Number
309-686-1000
Fax Number
person
Provider Business Mailing Address Details
Address
3827 N Prospect Rd
City
State
Zip
61616-7767
Phone Number
309-686-1000
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
016003172 (Illinois)
Definition
Definition to come...
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