Foot First Podiatry Cl Pc

NPI 1891840203 - Podiatrist - 213ES0103X

NPI Details
NPI 1891840203
Enumeration Date 01/24/2007
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name RONALD JAY RONALD
Position OWNER
Phone (815) 477-9221
Fax (815) 477-8916
Practice Location
39 S VIRGINIA ST
CRYSTAL LAKE IL, 60014-5826, US
Phone (815) 477-9221
Fax (815) 477-8916
Business Location
39 S VIRGINIA ST
CRYSTAL LAKE IL, 60014-5826, US
Phone (815) 477-9221
Fax (815) 477-8916
Toxanomy
Taxonomy Code 213ES0103X
License State
License Number
Remove 1891840203 NPI Number
 

According to our database, Foot First Podiatry Cl Pc NPI is 1891840203, taxonomy code is 213ES0103X Foot First Podiatry Cl Pc physically located at 39 S Virginia St, Crystal Lake IL, 60014-5826. NPI Number 1033115704 has the healthcare provider type.

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1891840203 NPI number is provided on an as is basis without warranty of any kind. 1891840203 is maintained by the National Plan & Provider Enumeration System. The contents of Foot First Podiatry Cl Pc are for informational purposes only.