Midwest Podiatry Group, Pc
Midwest Podiatry Group, Pc is a health care provider in Peoria, IL. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location|| 3827 N Prospect Rd, Peoria, IL 61616-7767, US |
|Practice Location Phone||309-686-1000|
|Practice Location Fax|
|Legal Business Name||MIDWEST PODIATRY GROUP, PC|
|Enumeration Date ? ||Aug 23, 2006|
|Last Update Date ? ||Mar 17, 2010|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
Specialties & Licenses of Midwest Podiatry Group, Pc
|Specialty||Provider Type||Specialization||License||License State|
|Podiatrist||Podiatric Medicine & Surgery Service Providers||Foot & Ankle Surgery ||016003172||Illinois|
Legacy Provider IDs of Midwest Podiatry Group, Pc
|Provider Id||Issuer State||Issuer Type||Issuer|
Authorized Official of Midwest Podiatry Group, Pc
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Midwest Podiatry Group, Pc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official ||Dr. Donald Joe Sheller (DPM)|
|Authorized Official Title/Position||PRESIDENT|
|Authorized Official Phone Number||309-686-1000|