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

Premier Foot and Ankle of Illinois, PC

Organization Foot & Ankle Surgery Podiatrist · NPI 1467867234

Premier Foot and Ankle of Illinois, PC is a Foot & Ankle Surgery Podiatrist in Maryville, Illinois. Licensed in Illinois. Registered with an NPI since 2014.

Licensed in
IL
In the registry since
2014
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

6810 State Route 162 Ste 20
Maryville, IL 62062-8587
Phone: (618) 288-2835
Fax: (618) 288-6162
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 016.005608 (IL)

Record details

NPI number1467867234
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gabriel Cardenas — Owner/Podiatrist · (618) 288-2835
NPI enumeratedJune 30, 2014
Last updated in NPPESNovember 18, 2016
Mailing address6810 State Route 162, Suite 20, Maryville, IL 62062-8587

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