Organization · Type 2 NPI
Family Foot and Ankle Center of Southern Illinois LLC
Foot & Ankle Surgery Podiatrist · Carterville, IL
NPI number
1881823623
Active
Practice location
807 S Division St
Carterville, IL 62918-1528
Fax (618) 985-3339
Mailing address
PO Box 508
Carterville, IL 62918-0508
Other practice locations
- 3022 S Park Ave, Herrin, IL 62948-3721 · (618) 942-3334
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | None listed |
Foot & Ankle Surgery Podiatrist: Definition to come...
Another provider at this address
About NPI 1881823623
Family Foot and Ankle Center of Southern Illinois LLC's National Provider Identifier is 1881823623, issued on Jul 14, 2009. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Carterville, IL. The record was last updated on Sep 14, 2020.