Organization · Type 2 NPI

Julia Rackley Perry Memorial Hospital

Podiatric Clinic/Center · Princeton, IL

NPI number 1952877243 Active

Practice location

530 Park Ave E Ste 303
Princeton, IL 61356-3903

Call (815) 872-3034 Map

Fax (815) 872-3019

Mailing address

530 Park Ave E
Princeton, IL 61356-3901

Specialties and licenses

Taxonomy	Code	License
Podiatric Clinic/Center Primary	261QP1100X	None listed

Podiatric Clinic/Center: Definition to come...

NPI record

NPI: 1952877243
Entity type: Organization (Type 2)
Issued: Oct 15, 2018
Last updated: Jun 15, 2020
Status: Active
Subpart: Yes of Julia Rackley Perry Memorial Hospital

Other names

<unavail>
Perry Memorial Podiatry Clinic · doing business as
Perry Memorial Podiatry Clinic · doing business as

Authorized official

Jean Welte
Medical Staff Services Coordinator
(815) 876-2293

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1952877243

Julia Rackley Perry Memorial Hospital's National Provider Identifier is 1952877243, issued on Oct 15, 2018. The primary taxonomy on file is Podiatric Clinic/Center (261QP1100X), and the practice location is in Princeton, IL. The record was last updated on Jun 15, 2020.