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

Kirk M Bott Dba Logan Avenue Foot Clinic

Organization Foot & Ankle Surgery Podiatrist · NPI 1639391907

Kirk M Bott Dba Logan Avenue Foot Clinic is a Foot & Ankle Surgery Podiatrist in Danville, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007

Practice location Address checks out

612 N Logan Ave
Danville, IL 61832
Phone: (217) 442-4186
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 016003907 (IL)

Record details

NPI number1639391907
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kirk Bott — Owner · (217) 442-4186
NPI enumeratedMay 3, 2007
Last updated in NPPESJune 18, 2008
Mailing address612 N Logan Avenue, Danville, IL 61832

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