Organization · Type 2 NPI
Southern Illinois Family Foot Care, LLC
Medical Specialty Clinic/Center · Mount Vernon, IL
Practice location
221 N 27th St
Mount Vernon, IL 62864-2941
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Specialty Clinic/Center Primary | 261QM2500X | 016003846 (IL) |
Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
About NPI 1972843613
Southern Illinois Family Foot Care, LLC's National Provider Identifier is 1972843613, issued on Feb 17, 2013. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Mount Vernon, IL. The record was last updated on May 16, 2014.