GITERSONKE FOOT CLINIC PC NPI 1477737054

NPI Information

  • NPI: 1477737054
  • Provider Name: GITERSONKE FOOT CLINIC, PC
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Organization
  • Address: 1520 9TH ST
    SUITE 240
    HIGHLAND, IL
    ZIP 62249
  • Phone: (618) 654-2383

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NPI Details

GITERSONKE FOOT CLINIC, PC is a foot and ankle surgery podiatrist in Highland, IL. GITERSONKE FOOT CLINIC, PC NPI is 1477737054. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1520 9TH ST
SUITE 240
HIGHLAND, IL
ZIP 62249-677
Phone: (618) 654-2383
Fax: (618) 931-4905

The provider's authorized official is Peggy Dolores Gitersonke .
The authorized official title is Office Manager and has the following contact phone number (618) 654-2383.

The enumeration date for this NPI number is 12/19/2007 and was last updated on 1/26/2008.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0103XPodiatristFoot & Ankle SurgeryILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10394750002MEDICARE NSCILLINOIS
2CL7908MEDICARE PINILLINOIS
3T38313MEDICARE UPINILLINOIS
4732671MEDICARE PINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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