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

Peoria Podiatry Group PC

Organization Primary Podiatric Medicine Podiatrist · NPI 1588813133

Peoria Podiatry Group PC is a Primary Podiatric Medicine Podiatrist in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2008.

Licensed in
IL
In the registry since
2008
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

614 Spring St
Peoria, IL 61603-4133
Phone: (309) 637-2325
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Podiatric Medicine Podiatrist (primary) Taxonomy 213EP1101X · Licence 016003701 (IL)

Record details

NPI number1588813133
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Ruff — President · (309) 637-3668
NPI enumeratedSeptember 18, 2008
Last updated in NPPESJuly 24, 2009
Mailing address614 Spring St, Peoria, IL 61603-4133

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