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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.

physician-icon Basic Information

Practice Location 3827 N Prospect Rd, Peoria, IL 61616-7767, US
Practice Location Phone309-686-1000
Practice Location Fax
Legal Business NameMIDWEST PODIATRY GROUP, PC
NPI ?1184731663
Entity TypeOrganization
Enumeration Date ? Aug 23, 2006
Last Update Date ? Mar 17, 2010
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Midwest Podiatry Group, Pc

SpecialtySpecializationLicenseLicense State
PodiatristFoot & Ankle Surgery 016003172Illinois

legacy-id-icon Legacy Provider IDs of Midwest Podiatry Group, Pc

Provider IdIssuer StateIssuer TypeIssuer
DA0891IllinoisOtherRAILROAD MEDICARE
016003172IllinoisMedicaid

official-icon 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/PositionPRESIDENT
Authorized Official Phone Number309-686-1000