ILLINOIS VALLEY PODIATRY GROUP PC NPI 1750506846

NPI Information

ILLINOIS VALLEY PODIATRY GROUP PC is a podiatrist in Peoria, IL. The provider is 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 and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. ILLINOIS VALLEY PODIATRY GROUP PC NPI is 1750506846. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Illinois Valley Podiatry.

The provider's business location address is:

3322 W WILLOW KNOLLS
PEORIA, IL
ZIP 61614
Phone: (309) 691-5800
Fax: (309) 691-1336

The provider's authorized official is Thomas Kevin Brattain .
The authorized official title is Podiatrist and has the following contact phone number (309) 691-5800.

The enumeration date for this NPI number is 4/16/2007 and was last updated on 2/21/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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