institution
Peoria Podiatry Group Pc
Primary Podiatric Medicine Podiatrist in Peoria, Illinois
NPI 1588813133

Peoria Podiatry Group Pc is a Primary Podiatric Medicine Podiatrist based in Peoria, IL and is specialized in Primary Podiatric Medicine. Peoria Podiatry Group Pc practices in Peoria, IL. The NPI Number for Peoria Podiatry Group Pc is 1588813133 and holds a License No. 016003701 (Illinois).

The current practice location address for Peoria Podiatry Group Pc is 614 Spring St, Peoria, IL and can be reached out via phone at 309-637-2325.

Location: 614 Spring St, Peoria, IL, 61603-4133
institution
Provider Profile Details
NPI Number
1588813133
Provider Name
Peoria Podiatry Group Pc
Credential
Provider Entity Type
Organization
Address
614 Spring St, Peoria, IL, 61603-4133
Phone Number
309-637-2325
Fax Number
Provider Enumeration Date
09/18/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1366440166 01 IL JOHN D RUFF DPM
016003701 05 IL
1598926289(INDNPI) 01 IL ASSOCIATE-RACHEL S GRIEDER, DPM
1588813133 (GRP NPI) 01 IL ASSOCIATE--RACHEL S GRIEDER, DPM
1588813133(GRP.NPI) 01 IL JOHN D RUFF DPM
institution
Provider Business Practice Location Address Details
Address
614 Spring St
City
State
Zip
61603-4133
Phone Number
309-637-2325
Fax Number
person
Provider Business Mailing Address Details
Address
614 Spring St
City
State
Zip
61603-4133
Phone Number
309-637-2325
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
License No.
016003701 (Illinois)
Definition
Definition to come...
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