Organization · Type 2 NPI
Prairie Path Podiatry, P.c.
Podiatric Clinic/Center · Geneva, IL
NPI number
1639455470
Active
Practice location
4 S 6th St
Geneva, IL 60134-2163
Fax (630) 845-0557
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatric Clinic/Center Primary | 261QP1100X | 016004771 (IL) |
Podiatric Clinic/Center: Definition to come...
About NPI 1639455470
Prairie Path Podiatry, P.c.'s National Provider Identifier is 1639455470, issued on Oct 25, 2011. The primary taxonomy on file is Podiatric Clinic/Center (261QP1100X), and the practice location is in Geneva, IL. The record was last updated on Jan 14, 2015.