MCLEAN COUNTY FOOT & ANKLE, LTD.; NPI #1700273190

Contact Information

MCLEAN COUNTY FOOT & ANKLE, LTD.

3801 GE RD STE 4
BLOOMINGTON, IL 61704

Phone: 309-662-9001
Fax: 309-662-9005
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgery, Foot & Ankle	213ES0103X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for MCLEAN COUNTY FOOT & ANKLE, LTD.

NPI Number 1700273190

LBN Legal business name MCLEAN COUNTY FOOT & ANKLE, LTD.

Authorized official GERALD PAUL - (CO-OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/23/2015

Last updated 01/11/2019 - About 7 years ago

Identifiers

License #

016005369

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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MCLEAN COUNTY FOOT & ANKLE, LTD.

Contact Information

Specialty

Surgery, Foot & Ankle

NPI Profile & details for MCLEAN COUNTY FOOT & ANKLE, LTD.

Reviews for MCLEAN COUNTY FOOT & ANKLE, LTD.