Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Family Foot & Ankle Clinic PC

Organization Podiatrist · NPI 1629127741

Family Foot & Ankle Clinic PC is a Podiatrist in Decatur, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1390 N Fairview Ave
Decatur, IL 62526-3618
Phone: (217) 429-1512
Fax: (217) 423-1465
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 060008117 (IL)

Record details

NPI number1629127741
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephen Kovach — President · (217) 429-1512
NPI enumeratedJanuary 9, 2007
Last updated in NPPESFebruary 17, 2011
Mailing address1390 N Fairview Ave, Decatur, IL 62526-3618

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