Prairie Podiatry L.L.C. in Springfield - Podiatrist
Prairie Podiatry L.L.C. - NPI 1144349747
Prairie Podiatry L.L.C. is a Podiatrist in Springfield, Illinois. Prairie Podiatry L.L.C. practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Prairie Podiatry L.L.C. is 1144349747. The last update date is 2022-02-22.
Prairie Podiatry L.L.C.'s current location address is 2070 W Iles Ave, Springfield, Illinois. You can contact this provider via phone number 2176986228 and fax number 2176987241. The mailing address for Prairie Podiatry L.L.C. is 2070 W Iles Ave, Springfield, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Prairie Podiatry L.L.C. |
|---|---|
| Address | 2070 W Iles Ave, Springfield, Illinois |
| Phone Number | 2176986228 |
| Fax Number | 2176987241 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Shoudel Andrew John |
| Credentials | DPM |
| Telephone Number | 2176986228 |
NPI Number Detail
| NPI Number | 1144349747 |
|---|---|
| Provider Enumeration Date | 2007-03-28 |
| Last Updated Date | 2022-02-22 |
Provider Mailing Address Detail
| Address | 2070 W Iles Ave |
|---|---|
| City | Springfield |
| State | Illinois (IL) |
| Post Code | 627044174 |
| Phone Number | 2176986228 |
| Fax Number | 2176987241 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 16004443 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 60101308 | IL | BLUE CROSS |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Prairie Podiatry L.L.C. by the Centers for Medicare & Medicaid Services?
The Prairie Podiatry L.L.C. has been assigned the NPI (National Provider Identifier) 1144349747 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Prairie Podiatry L.L.C. is physically located?
The Prairie Podiatry L.L.C. is physically situated at the following address: 2070 W Iles Ave, Springfield, IL, 627044174.
What is Prairie Podiatry L.L.C.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Prairie Podiatry L.L.C. is Podiatrist, and the taxonomy code that categorizes this field of expertise is 213E00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1144349747 to Prairie Podiatry L.L.C.?
The Centers for Medicare & Medicaid Services assigned the 1144349747 to Prairie Podiatry L.L.C. on 2007-03-28.
When was the Prairie Podiatry L.L.C.'s information last updated?
The Prairie Podiatry L.L.C.'s information was last updated on 2022-02-22.