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

Pro Podiatry, LLC

Organization Foot & Ankle Surgery Podiatrist · NPI 1770027930

Pro Podiatry, LLC is a Foot & Ankle Surgery Podiatrist in Bloomington, Illinois. Licensed in Illinois. Registered with an NPI since 2016.

Licensed in
IL
In the registry since
2016
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

2501 E College Ave Ste C
Bloomington, IL 61704-2484
Phone: (309) 807-0384
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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 016005106 (IL)

Record details

NPI number1770027930
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Scott Oconnor — Member · (309) 807-0384
Other names Premier Podiatry; Premier Podiatry
NPI enumeratedDecember 7, 2016
Last updated in NPPESSeptember 1, 2022
Certification dateSeptember 1, 2022
Mailing address1512 W Reynolds St Ste A, Pontiac, IL 61764-9788

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