Podiatry Medical Surgical Center
Podiatry Medical Surgical Center is a Podiatrist in Mattoon, Illinois. Licensed in Illinois. Registered with an NPI since 2007.
- Licensed in
- IL
- In the registry since
- 2007
Practice location Address checks out
821 Charleston AveMattoon, IL 61938-4202
Phone: (217) 234-3234
Fax: (217) 234-4323
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Podiatrist (primary) | Taxonomy 213E00000X (IL) |
|---|
Record details
| NPI number | 1326228149 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ralph Lathrop — Owner · (217) 234-3234 |
| NPI enumerated | November 8, 2007 |
| Last updated in NPPES | November 15, 2007 |
| Mailing address | 821 Charleston Ave, Mattoon, IL 61938-4202 |
Other providers in Mattoon
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Charles Francis Kind Jr., DPM
1004 Health Center Dr Ste 100, Mattoon, IL 61938-4607 · (217) 238-3435