NPI Profile for ILLINOIS VALLEY PODIATRY GROUP PC in PEORIA, IL.
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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Podiatrist |
213E00000X | 48 | Podiatry | |
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company | |
Surgery, Foot |
213ES0131X | 48 | Podiatry | |
Surgery, Foot & Ankle |
213ES0103X | 48 | Podiatry |
| NPI Number | 1750506846 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 04/16/2007 | |
| Last updated | 02/21/2013 - About 13 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
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| Hospital affiliation(s) | Not Available |
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ILLINOIS VALLEY PODIATRY GROUP PC
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