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Foot And Ankle Associates Of Central Illinois Llc
Durable Medical Equipment & Medical Supplies in Havana, Illinois
NPI 1184748600

Foot And Ankle Associates Of Central Illinois Llc is a Durable Medical Equipment & Medical Supplies based in Jacksonville, IL. Foot And Ankle Associates Of Central Illinois Llc practices in Havana, IL. The NPI Number for Foot And Ankle Associates Of Central Illinois Llc is 1184748600 and holds a License No. (Illinois).

The current practice location address for Foot And Ankle Associates Of Central Illinois Llc is 615 N Promenade St, Havana, IL and can be reached out via phone at 217-243-1101 and via fax at 217-243-5003.

Location: 615 N Promenade St, Havana, IL, 62650-1150
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1184748600
Provider Name
Foot And Ankle Associates Of Central Illinois Llc
Credential
Provider Entity Type
Organization
Address
615 N Promenade St, Havana, IL, 62650-1150
Phone Number
217-243-1101
Fax Number
217-243-5003
Provider Enumeration Date
03/19/2007
Last Update Date
03/09/2024
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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
615 N Promenade St
City
Havana
State
Illinois
Zip
62644-1243
Phone Number
217-243-1101
Fax Number
217-243-5003
person
Provider Business Mailing Address Details
Address
615 N Promenade St
City
Havana
State
Illinois
Zip
62644-1243
Phone Number
217-243-1101
Fax Number
217-243-5003
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
(Illinois)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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