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Kirk M Bott, DPM
Podiatrist in Danville, Illinois
NPI 1376655019

Kirk M Bott is a Podiatrist based in Danville, IL. Kirk M Bott practices in Danville, IL and has the professional credentials of DPM. The NPI Number for Kirk M Bott is 1376655019 and holds a License No. 016003907 (Illinois).

The current practice location address for Kirk M Bott is 707 N Logan Ave, Danville, IL and can be reached out via phone at 217-442-4186 and via fax at 217-442-8336.

Location: 707 N Logan Ave, Danville, IL, 61832-4360
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376655019
Provider Name
Kirk M Bott
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
707 N Logan Ave, Danville, IL, 61832-4360
Phone Number
217-442-4186
Fax Number
217-442-8336
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5480266 01 CIGNA
016003907 01 IL BCBS OF ILLINOIS
480010681 01 RAILROAD MEDICARE #
CE0883 01 RAILROAD MEDICARE GROUP
4449930001 01 DMERC
institution
Provider Business Practice Location Address Details
Address
707 N Logan Ave
City
Danville
State
Illinois
Zip
61832-4360
Phone Number
217-442-4186
Fax Number
217-442-8336
person
Provider Business Mailing Address Details
Address
707 N Logan Ave
City
Danville
State
Illinois
Zip
61832-4360
Phone Number
217-442-4186
Fax Number
217-442-8336
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
016003907 (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.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
016003907 (Illinois)
Definition
Definition to come...
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