Organization · Type 2 NPI
Cfac Incorporated
Foot & Ankle Surgery Podiatrist · Dwight, IL
NPI number
1982723623
Active
Practice location
103 S John St
Dwight, IL 60420-1413
Mailing address
9 Mackenzie Ct
Bloomington, IL 61704-7047
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 016004981 (IL) |
Foot & Ankle Surgery Podiatrist: Definition to come...
2 other providers at this address
About NPI 1982723623
Cfac Incorporated's National Provider Identifier is 1982723623, issued on Mar 27, 2007. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Dwight, IL. The record was last updated on Apr 3, 2013.