MCLEAN COUNTY FOOT & ANKLE LTD. NPI 1700273190

NPI Information

NPI: 1700273190
Provider Name: MCLEAN COUNTY FOOT & ANKLE, LTD.
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
3801 GE RD STE 4
BLOOMINGTON, IL
ZIP 61704
Phone: (309) 662-9001
Get Directions

MCLEAN COUNTY FOOT & ANKLE, LTD. is a foot and ankle surgery podiatrist in Bloomington, IL. MCLEAN COUNTY FOOT & ANKLE, LTD. NPI is 1700273190. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3801 GE RD STE 4
BLOOMINGTON, IL
ZIP 61704
Phone: (309) 662-9001
Fax: (309) 662-9005

The provider's authorized official is Gerald Paul .
The authorized official title is Co-owner and has the following contact phone number (309) 662-9001.

The enumeration date for this NPI number is 4/23/2015 and was last updated on 1/11/2019.

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
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	016005369	ILLINOIS	Yes

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: 11/14/2023

NPI Synchronization or Removal

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