David A Dickinson, DPM
David A Dickinson, DPM is a Podiatry in Du Quoin, Illinois. Qualified in 2005, 21 years ago. Practices with Select Physical Therapy Holdings Inc, a 2,121-clinician group and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 21
- Licensed in
- IL
- In the registry since
- 2007
What do these letters mean?
- DPM — Doctor of Podiatric Medicine
- A foot and ankle physician and surgeon.
Practice location Address checks out
900 N Washington StDu Quoin, IL 62832-1233
Phone: (618) 542-2146
Fax: (618) 542-2154
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Podiatrist (primary) | Taxonomy 213E00000X · Licence 016005359 (IL) |
|---|
Record details
| NPI number | 1346372687 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DPM |
| Sole proprietor | Yes |
| NPI enumerated | March 12, 2007 |
| Last updated in NPPES | January 27, 2021 |
| Certification date | January 27, 2021 |
| Mailing address | Po Box 192, Du Quoin, IL 62832-0192 |
Medicare enrollment
| Medicare specialty | PODIATRY |
|---|---|
| Medical school | OTHER |
| Graduated | 2005 (21 years in practice) |
| Group practice | Select Physical Therapy Holdings Inc — 2121 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |