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

TaxonomyCodeLicense
Podiatric Clinic/Center Primary 261QP1100X016004771 (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.