Midwest Podiatry Group, Pc in Peoria - Foot & Ankle Surgery
Midwest Podiatry Group, Pc - NPI 1184731663
Midwest Podiatry Group, Pc is a Foot & Ankle Surgery in Peoria, Illinois. Midwest Podiatry Group, Pc practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Midwest Podiatry Group, Pc is 1184731663. The last update date is 2010-03-17.
Midwest Podiatry Group, Pc's current location address is 3827 N Prospect Rd, Peoria, Illinois. You can contact this provider via phone number 3096861000. The mailing address for Midwest Podiatry Group, Pc is 3827 N Prospect Rd, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Midwest Podiatry Group, Pc |
|---|---|
| Address | 3827 N Prospect Rd, Peoria, Illinois |
| Phone Number | 3096861000 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Sheller Joe Donald |
| Credentials | DPM |
| Telephone Number | 3096861000 |
NPI Number Detail
| NPI Number | 1184731663 |
|---|---|
| Provider Enumeration Date | 2006-08-23 |
| Last Updated Date | 2010-03-17 |
Provider Mailing Address Detail
| Address | 3827 N Prospect Rd |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616167767 |
| Phone Number | 3096861000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Foot & Ankle Surgery |
|---|---|
| Taxonomy | 213Es0103X |
| Licence No | 16003172 |
|
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 |
|---|---|---|---|
| 16003172 | IL | -- | |
| DA0891 | IL | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Midwest Podiatry Group, Pc by the Centers for Medicare & Medicaid Services?
The Midwest Podiatry Group, Pc has been issued the NPI (National Provider Identifier) 1184731663 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Midwest Podiatry Group, Pc?
The Midwest Podiatry Group, Pc is situated at 3827 N Prospect Rd, in the city of Peoria, state of IL, with the zip code 616167767.
What is Midwest Podiatry Group, Pc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Midwest Podiatry Group, Pc is Foot & Ankle Surgery, and the corresponding taxonomy classification code for this specialized field is 213Es0103X.
On what date did the Centers for Medicare & Medicaid Services assign the 1184731663 to Midwest Podiatry Group, Pc?
The Centers for Medicare & Medicaid Services assigned the 1184731663 to Midwest Podiatry Group, Pc on 2006-08-23.
As of what date was the information regarding Midwest Podiatry Group, Pc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Midwest Podiatry Group, Pc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-03-17.