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Midstate Podiatry Associates Ltd
Podiatrist in Bloomington, Illinois
NPI 1548216047

Midstate Podiatry Associates Ltd is a Podiatrist based in Bloomington, IL. Midstate Podiatry Associates Ltd practices in Bloomington, IL. The NPI Number for Midstate Podiatry Associates Ltd is 1548216047 and holds a License No. 060-000800 (Illinois).

The current practice location address for Midstate Podiatry Associates Ltd is 2708 Mcgraw Dr, Bloomington, IL and can be reached out via phone at 309-663-2306 and via fax at 309-662-1213.

Location: 2708 Mcgraw Dr, Bloomington, IL, 61704-6012
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1548216047
Provider Name
Midstate Podiatry Associates Ltd
Credential
Provider Entity Type
Organization
Address
2708 Mcgraw Dr, Bloomington, IL, 61704-6012
Phone Number
309-663-2306
Fax Number
309-662-1213
Provider Enumeration Date
05/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
60115936 01 IL BLUE SHIELD GROUP NUMBER
institution
Provider Business Practice Location Address Details
Address
2708 Mcgraw Dr
City
Bloomington
State
Illinois
Zip
61704-6012
Phone Number
309-663-2306
Fax Number
309-662-1213
person
Provider Business Mailing Address Details
Address
2708 Mcgraw Dr
City
Bloomington
State
Illinois
Zip
61704-6012
Phone Number
309-663-2306
Fax Number
309-662-1213
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
060-000800 (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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