person
Dr. Jared Matthew Maker, DPM
Foot & Ankle Surgery Podiatrist in Champaign, Illinois
NPI 1265731863

Jared Matthew Maker is a Foot & Ankle Surgery Podiatrist based in Urbana, IL and is specialized in Foot & Ankle Surgery. Jared Matthew Maker practices in Champaign, IL and has the professional credentials of DPM. The NPI Number for Jared Matthew Maker is 1265731863 and holds a License No. SC006216 (Illinois).

The current practice location address for Jared Matthew Maker is 2300 S 1St St, Champaign, IL and can be reached out via phone at 217-383-9400 and via fax at 217-383-9691. You can also correspond with Jared Matthew Maker through the mailing address at 611 W PARK ST, URBANA, IL - 61801 (mailing address contact number: ).

Location: 2300 S 1St St, Champaign, IL, 61801
person
Provider Profile Details
NPI Number
1265731863
Provider Name
Jared Matthew Maker
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
2300 S 1St St, Champaign, IL, 61801
Phone Number
217-383-9400
Fax Number
217-383-9691
Provider Enumeration Date
03/22/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
HH882Y 01 FL MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
2300 S 1St St
City
State
Zip
61820-7661
Phone Number
217-383-9400
Fax Number
217-383-9691
person
Provider Business Mailing Address Details
Address
611 W Park St
City
State
Zip
61801
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
SC006216 (Pennsylvania)
Definition
Definition to come...
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