| Center For Foot And Ankle Surgery Ltd | |
|
1802 Division St, Ste 305, Morris, IL 60450 | |
| (815) 942-9050 | |
| (815) 942-9051 |
| Full Name | Center For Foot And Ankle Surgery Ltd |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 1802 Division St, Morris, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154498194 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | IL16004810 (Illinois) | Primary |
| Provider Name | Mark Andrew Fenlon |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1043341068 PECOS PAC ID: 7719957059 Enrollment ID: I20040726001408 |
| Provider Name | Thomas F Rappette |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1962579904 PECOS PAC ID: 2769462027 Enrollment ID: I20050719000237 |
| Provider Name | Beth A Beaumont |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487701967 PECOS PAC ID: 8426151267 Enrollment ID: I20070315000011 |
| Provider Name | Larry D Ketner |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1407955487 PECOS PAC ID: 0749370229 Enrollment ID: I20071220000475 |
| Provider Name | Nicholas John Liberatore |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609391226 PECOS PAC ID: 1153739834 Enrollment ID: I20210419000480 |
| Provider Name | Manish Pandya |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1629560339 PECOS PAC ID: 1951791227 Enrollment ID: I20220311000467 |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Foot And Ankle Surgery Ltd 654 W Veterans Pkwy, Ste D, Yorkville, IL 60560-4567 Ph: (630) 553-9300 | Center For Foot And Ankle Surgery Ltd 1802 Division St, Ste 305, Morris, IL 60450 Ph: (815) 942-9050 |
Dr. Renee Marie Reichert, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1051 W Us Route 6, Suite 100, Morris, IL 60450 Phone: 815-942-4875 Fax: 815-942-5046 | |
Dr. Kyle T Pearson, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1051 W Us Route 6, Suite 100, Morris, IL 60450 Phone: 815-942-4875 Fax: 815-942-5046 |