Dr Roland A Tolliver Jr, DPM | |
Freeport Podiatry Services, Llc, 1201 West Empire Street, Freeport, IL 61032-6106 | |
(815) 232-8015 | |
(815) 235-1376 |
Full Name | Dr Roland A Tolliver Jr |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 39 Years |
Location | Freeport Podiatry Services, Llc, Freeport, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992891410 | NPI | - | NPPES |
0060201289 | Other | IL | BCBS |
016003850 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | 016003850 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Fhn Memorial Hospital | Freeport, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Freeport Regional Health Care Foundation | 9234041682 | 91 |
Provider Name | Freeport Regional Health Care Foundation |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1457337016 PECOS PAC ID: 9234041682 Enrollment ID: O20031104000182 |
Mailing Address | Practice Location Address |
---|---|
Dr Roland A Tolliver Jr, DPM Freeport Podiatry Services, Llc, 1201 West Empire Street, Freeport, IL 61032-6106 Ph: (815) 232-8015 | Dr Roland A Tolliver Jr, DPM Freeport Podiatry Services, Llc, 1201 West Empire Street, Freeport, IL 61032-6106 Ph: (815) 232-8015 |
Carol Ann Wisniewski, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 521 W Main St, Freeport, IL 61032 Phone: 815-233-0211 Fax: 815-233-0214 | |
Kenneth S Stone Dpm Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1717 W Church St, Freeport, IL 61032 Phone: 815-235-4231 Fax: 815-233-9531 | |
Freeport Podiatry Services, Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1201 W Empire St, Freeport, IL 61032 Phone: 815-232-8015 Fax: 815-235-1376 | |
Ronald Keith Dickey, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 521 W Main St, Freeport, IL 61032 Phone: 815-233-0211 Fax: 815-233-0214 | |
Northern Illinois Podiatry Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 521 W Main St, Freeport, IL 61032 Phone: 815-233-0211 Fax: 815-233-0214 |