Northern Illinois Podiatry PC

NPI #1740495944 in Freeport, Illinois

Provider Information

NPI Number: 1740495944
Entity Type: Organization
Organization Name: Northern Illinois Podiatry PC
Primary Specialty: Podiatrist
Enumeration Date: May 11, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 521 W MAIN ST
City: Freeport
State: Illinois
ZIP Code: 61032
Phone: (815) 233-0211

Authorized Official

Name: DR. RONALD KEITH DICKEY, DPM
Title: OWNER
Phone: (815) 233-0211

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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