Prairie Rock Foot & Ankle Clinic Ltd in Manteno - Foot & Ankle Surgery
Prairie Rock Foot & Ankle Clinic Ltd - NPI 1437136926
Prairie Rock Foot & Ankle Clinic Ltd is a Foot & Ankle Surgery in Manteno, Illinois. Prairie Rock Foot & Ankle Clinic Ltd practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Prairie Rock Foot & Ankle Clinic Ltd is 1437136926. The last update date is 2022-07-21.
Prairie Rock Foot & Ankle Clinic Ltd's current location address is 2825 West Division Street, Manteno, Illinois. You can contact this provider via phone number 8154687117 and fax number 8154687510. The mailing address for Prairie Rock Foot & Ankle Clinic Ltd is 2825 West Division Street, Manteno, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Prairie Rock Foot & Ankle Clinic Ltd |
|---|---|
| Address | 2825 West Division Street, Manteno, Illinois |
| Phone Number | 8154687117 |
| Fax Number | 8154687510 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Lesage D Alene |
| Credentials | CMA |
| Telephone Number | 8154687117 |
NPI Number Detail
| NPI Number | 1437136926 |
|---|---|
| Provider Enumeration Date | 2005-12-27 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 2825 West Division Street |
|---|---|
| City | Manteno |
| State | Illinois (IL) |
| Post Code | 609501518 |
| Phone Number | 8154687117 |
| Fax Number | 8154687510 |
Provider's Primary Taxonomy Detail
| Speciality | Foot & Ankle Surgery |
|---|---|
| Taxonomy | 213Es0103X |
|
Definition: A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 203799 | IL | MEDICARE GROUP NUMBER | |
| 480034698 | IL | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the Prairie Rock Foot & Ankle Clinic Ltd's 1437136926?
The Prairie Rock Foot & Ankle Clinic Ltd's NPI (National Provider Identifier) Number is 1437136926. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Prairie Rock Foot & Ankle Clinic Ltd is geographically located?
The Prairie Rock Foot & Ankle Clinic Ltd is physically situated at the following location: 2825 West Division Street, Manteno, IL, 609501518.
What is Prairie Rock Foot & Ankle Clinic Ltd's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Prairie Rock Foot & Ankle Clinic Ltd is Foot & Ankle Surgery, and the taxonomy code that categorizes this field of expertise is 213Es0103X.
On what date was the 1437136926 assigned to Prairie Rock Foot & Ankle Clinic Ltd?
The Prairie Rock Foot & Ankle Clinic Ltd was issued its 1437136926 on 2005-12-27, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Prairie Rock Foot & Ankle Clinic Ltd's details last updated?
The information pertaining to the Prairie Rock Foot & Ankle Clinic Ltd, including its address, specialty, and other details, was most recently updated on 2022-07-21.