institution
Foot & Ankle Center Of Illinois Pc
Primary Podiatric Medicine Podiatrist in Springfield, Illinois
NPI 1598058547

Foot & Ankle Center Of Illinois Pc is a Primary Podiatric Medicine Podiatrist based in Springfield, IL and is specialized in Primary Podiatric Medicine. Foot & Ankle Center Of Illinois Pc practices in Springfield, IL. The NPI Number for Foot & Ankle Center Of Illinois Pc is 1598058547 and holds a License No. 016005201 (Illinois).

The current practice location address for Foot & Ankle Center Of Illinois Pc is 2921 Montvale Dr, Springfield, IL and can be reached out via phone at 217-787-2700 and via fax at 217-787-2715.

Location: 2921 Montvale Dr, Springfield, IL, 62704-5359
institution
Provider Profile Details
NPI Number
1598058547
Provider Name
Foot & Ankle Center Of Illinois Pc
Credential
Provider Entity Type
Organization
Address
2921 Montvale Dr, Springfield, IL, 62704-5359
Phone Number
217-787-2700
Fax Number
217-787-2715
Provider Enumeration Date
05/24/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
016005201 05 IL
P00145756 01 RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
2921 Montvale Dr
City
State
Zip
62704-5359
Phone Number
217-787-2700
Fax Number
217-787-2715
person
Provider Business Mailing Address Details
Address
2921 Montvale Dr
City
State
Zip
62704-5359
Phone Number
217-787-2700
Fax Number
217-787-2715
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
License No.
016005201 (Illinois)
Definition
Definition to come...
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