Prairie Podiatry Inc.

NPI #1225535867 in Frankfort, Illinois

Provider Information

NPI Number
1225535867
Entity Type
Organization
Organization Name
Prairie Podiatry Inc.
Primary Specialty
Podiatrist - Primary Podiatric Medicine
Enumeration Date
Apr 10, 2018
Last Updated
Apr 10, 2018

Practice Location

Address
21813 CAPPEL LN
ZIP Code
60423-2275
Phone
(978) 549-6818

Authorized Official

Name
WAYNE MCCULLOUGH, DPM
Title
PRESIDENT
Phone
(978) 549-6818

Specialties & Taxonomy Codes

Specialty
Podiatrist - Primary Podiatric MedicinePrimary Podiatric Medicine

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