institution
Kirk M Bott Dba Logan Avenue Foot Clinic
Foot & Ankle Surgery Podiatrist in Danville, Illinois
NPI 1639391907

Kirk M Bott Dba Logan Avenue Foot Clinic is a Foot & Ankle Surgery Podiatrist based in Danville, IL and is specialized in Foot & Ankle Surgery. Kirk M Bott Dba Logan Avenue Foot Clinic practices in Danville, IL. The NPI Number for Kirk M Bott Dba Logan Avenue Foot Clinic is 1639391907 and holds a License No. 016003907 (Illinois).

The current practice location address for Kirk M Bott Dba Logan Avenue Foot Clinic is 612 N Logan Avenue, Danville, IL and can be reached out via phone at 217-442-4186.

Location: 612 N Logan Avenue, Danville, IL, 61832
institution
Provider Profile Details
NPI Number
1639391907
Provider Name
Kirk M Bott Dba Logan Avenue Foot Clinic
Credential
Provider Entity Type
Organization
Address
612 N Logan Avenue, Danville, IL, 61832
Phone Number
217-442-4186
Fax Number
Provider Enumeration Date
05/03/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1376655019 01 IL INDIVIDUAL NPI #
4449930001 01 DMERC
CE0883 01 RAILROAD MEDICARE GROUP
1649379504 01 IL INDIVIDUAL NPI #
480010681 01 RAILROAD MEDICARE INDIVID
P00380788 01 RAILROAD MEDICARE INDIVID
institution
Provider Business Practice Location Address Details
Address
612 N Logan Avenue
City
State
Zip
61832
Phone Number
217-442-4186
Fax Number
person
Provider Business Mailing Address Details
Address
612 N Logan Avenue
City
State
Zip
61832
Phone Number
217-442-4186
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
016003907 (Illinois)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.