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

Prairie Podiatry LLC

Organization Podiatrist · NPI 1144349747

Prairie Podiatry LLC is a Podiatrist in Springfield, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2070 W Iles Ave
Springfield, IL 62704-4174
Phone: (217) 698-6228
Fax: (217) 698-7241
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 016004443 (IL)

Record details

NPI number1144349747
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Shoudel — Owner · (217) 698-6228
NPI enumeratedMarch 28, 2007
Last updated in NPPESFebruary 22, 2022
Certification dateFebruary 22, 2022
Mailing address2070 W Iles Ave, Springfield, IL 62704-4174

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