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Illinois Valley Podiatry Group Pc
Durable Medical Equipment & Medical Supplies in Peoria, Illinois
NPI 1750506846

Illinois Valley Podiatry Group Pc is a Durable Medical Equipment & Medical Supplies based in Peoria, IL. Illinois Valley Podiatry Group Pc practices in Peoria, IL. The NPI Number for Illinois Valley Podiatry Group Pc is 1750506846 and holds a License No. (Illinois).

The current practice location address for Illinois Valley Podiatry Group Pc is 3322 W Willow Knolls, Peoria, IL and can be reached out via phone at 309-691-5800 and via fax at 309-691-1336.

Location: 3322 W Willow Knolls, Peoria, IL, 61614
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1750506846
Provider Name
Illinois Valley Podiatry Group Pc
Credential
Provider Entity Type
Organization
Address
3322 W Willow Knolls, Peoria, IL, 61614
Phone Number
309-691-5800
Fax Number
309-691-1336
Provider Enumeration Date
04/16/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0007215174 01 IL BLUE CROSS BLUE SHIELD
CM5560 01 IL RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
3322 W Willow Knolls
City
Peoria
State
Illinois
Zip
61614
Phone Number
309-691-5800
Fax Number
309-691-1336
person
Provider Business Mailing Address Details
Address
3322 W Willow Knolls
City
Peoria
State
Illinois
Zip
61614
Phone Number
309-691-5800
Fax Number
309-691-1336
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
(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.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
213ES0131X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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