Foot And Ankle Associates Of Central Illinois Llc in Jacksonville - Durable Medical Equipment & Medical Supplies
Foot And Ankle Associates Of Central Illinois Llc - NPI 1184748600
Foot And Ankle Associates Of Central Illinois Llc is a Durable Medical Equipment & Medical Supplies in Jacksonville, Illinois. Foot And Ankle Associates Of Central Illinois Llc practices all healthcare services and medical treatments related to Durable Medical Equipment & Medical Supplies. The NPI Number for Foot And Ankle Associates Of Central Illinois Llc is 1184748600. The last update date is 2020-08-22.
Foot And Ankle Associates Of Central Illinois Llc's current location address is 1515 W Walnut St, Jacksonville, Illinois. You can contact this provider via phone number 2172431101 and fax number 2172435003. The mailing address for Foot And Ankle Associates Of Central Illinois Llc is 1515 W Walnut St, Jacksonville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Foot And Ankle Associates Of Central Illinois Llc |
|---|---|
| Address | 1515 W Walnut St, Jacksonville, Illinois |
| Phone Number | 2172431101 |
| Fax Number | 2172435003 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Fleischli John |
| Credentials | DPM |
| Telephone Number | 2172431101 |
NPI Number Detail
| NPI Number | 1184748600 |
|---|---|
| Provider Enumeration Date | 2007-03-19 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1515 W Walnut St |
|---|---|
| City | Jacksonville |
| State | Illinois (IL) |
| Post Code | 626501150 |
| Phone Number | 2172431101 |
| Fax Number | 2172435003 |
Provider's Primary Taxonomy Detail
| Speciality | Durable Medical Equipment & Medical Supplies |
|---|---|
| Taxonomy | 332B00000X |
|
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6932011 | IL | BCBS | |
| DA1788 | IL | GROUP RAILROAD MEDICARE # |
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What is the Foot And Ankle Associates Of Central Illinois Llc's unique identification number?
The Foot And Ankle Associates Of Central Illinois Llc has been assigned the NPI (National Provider Identifier) Number 1184748600 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Foot And Ankle Associates Of Central Illinois Llc is physically located?
The Foot And Ankle Associates Of Central Illinois Llc is physically situated at the following address: 1515 W Walnut St, Jacksonville, IL, 626501150.
What is the Foot And Ankle Associates Of Central Illinois Llc's specialty and taxonomy code?
The Foot And Ankle Associates Of Central Illinois Llc's specialty is Durable Medical Equipment & Medical Supplies, and the corresponding taxonomy code is 332B00000X.
On what date did the Foot And Ankle Associates Of Central Illinois Llc receive its 1184748600 assignment from the Centers for Medicare & Medicaid Services?
The Foot And Ankle Associates Of Central Illinois Llc was assigned its 1184748600 by the Centers for Medicare & Medicaid Services on 2007-03-19.
When was the Foot And Ankle Associates Of Central Illinois Llc's information last updated?
The Foot And Ankle Associates Of Central Illinois Llc's information was last updated on 2020-08-22.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC