Southern Illinois Foot and Ankle Clinic Ltd

NPI #1134224199 in Carbondale, Illinois

Provider Information

NPI Number: 1134224199
Entity Type: Organization
Organization Name: Southern Illinois Foot and Ankle Clinic Ltd
Primary Specialty: Podiatrist
Enumeration Date: Sep 14, 2006
Last Updated: Jul 27, 2020

Practice Location

Address: 1235 CEDAR CT
City: Carbondale
State: Illinois
ZIP Code: 62901-5335
Phone: (618) 457-0431

Authorized Official

Name: TAMI HEFNER
Title: MEDICAL BILLER
Phone: (618) 457-0431

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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