institution
Foot Health Center Inc P C
Foot & Ankle Surgery Podiatrist in Maryville, Illinois
NPI 1912930793

Foot Health Center Inc P C is a Foot & Ankle Surgery Podiatrist based in Maryville, IL and is specialized in Foot & Ankle Surgery. Foot Health Center Inc P C practices in Maryville, IL. The NPI Number for Foot Health Center Inc P C is 1912930793 and holds a License No. 060-004872 (Illinois).

The current practice location address for Foot Health Center Inc P C is 122 E Zupan St, Maryville, IL and can be reached out via phone at 618-344-4449 and via fax at 618-344-4551. You can also correspond with Foot Health Center Inc P C through the mailing address at PO BOX 340, MARYVILLE, IL - 62062-0340 (mailing address contact number: 618-344-4449).

Location: 122 E Zupan St, Maryville, IL, 62062-0340
institution
Provider Profile Details
NPI Number
1912930793
Provider Name
Foot Health Center Inc P C
Credential
Provider Entity Type
Organization
Address
122 E Zupan St, Maryville, IL, 62062-0340
Phone Number
618-344-4449
Fax Number
618-344-4551
Provider Enumeration Date
07/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
060101285 01 IL BC/BS GROUP#
CB0674 01 IL RAILROAD MEDICARE GROUP#
institution
Provider Business Practice Location Address Details
Address
122 E Zupan St
City
State
Zip
62062-2010
Phone Number
618-344-4449
Fax Number
618-344-4551
person
Provider Business Mailing Address Details
Address
Po Box 340
City
State
Zip
62062-0340
Phone Number
618-344-4449
Fax Number
618-344-4551
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
060-004872 (Illinois)
Definition
Definition to come...
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