ALTON PODIATRY CLINIC, P.C.; NPI #1780707950

Contact Information

ALTON PODIATRY CLINIC, P.C.

3535 COLLEGE AVE
ALTON, IL 62002-5009

Phone: 618-462-2316
Fax: 618-462-0954
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 ALTON PODIATRY CLINIC, P.C.

NPI Number 1780707950

LBN Legal business name ALTON PODIATRY CLINIC, P.C.

Authorized official LAWRENCE HUELS - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/10/2007

Last updated 11/11/2008 - About 18 years ago

Identifiers

License #

016004028

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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ALTON PODIATRY CLINIC, P.C.

Contact Information

Specialty

Surgery, Foot & Ankle

NPI Profile & details for ALTON PODIATRY CLINIC, P.C.

Reviews for ALTON PODIATRY CLINIC, P.C.