institution
Willow Falls Podiatry
Primary Podiatric Medicine Podiatrist in Crest Hill, Illinois
NPI 1730498627

Willow Falls Podiatry is a Primary Podiatric Medicine Podiatrist based in Bolingbrook, IL and is specialized in Primary Podiatric Medicine. Willow Falls Podiatry practices in Crest Hill, IL. The NPI Number for Willow Falls Podiatry is 1730498627 and holds a License No. 016003971 (Illinois).

The current practice location address for Willow Falls Podiatry is 16151 Weber Rd, Crest Hill, IL and can be reached out via phone at 815-838-0282 and via fax at 815-230-0036.

Location: 16151 Weber Rd, Crest Hill, IL, 60490-3278
institution
Provider Profile Details
NPI Number
1730498627
Provider Name
Willow Falls Podiatry
Credential
Provider Entity Type
Organization
Address
16151 Weber Rd, Crest Hill, IL, 60490-3278
Phone Number
815-838-0282
Fax Number
815-230-0036
Provider Enumeration Date
09/27/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0060001542 01 IL BLUE CROSS BLUE SHIELD
016003971 05 IL
institution
Provider Business Practice Location Address Details
Address
16151 Weber Rd
City
State
Zip
60403-0863
Phone Number
815-838-0282
Fax Number
815-230-0036
person
Provider Business Mailing Address Details
Address
16151 Weber Rd
City
State
Zip
60403-0863
Phone Number
815-838-0282
Fax Number
815-230-0036
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
License No.
016003971 (Illinois)
Definition
Definition to come...
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