| Family Foot & Ankle Clinic Pc | |
|
1390 N Fairview Ave, Decatur, IL 62526-3618 | |
| (217) 429-1512 | |
| (217) 423-1465 |
| Full Name | Family Foot & Ankle Clinic Pc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 1390 N Fairview Ave, Decatur, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629127741 | NPI | - | NPPES |
| 016004985 | Medicaid | IL | |
| CK6281 | Other | IL | RAILROAD MEDICARE - |
| 016004984 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 060008117 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Family Foot & Ankle Clinic Pc 1390 N Fairview Ave, Decatur, IL 62526-3618 Ph: (217) 429-1512 | Family Foot & Ankle Clinic Pc 1390 N Fairview Ave, Decatur, IL 62526-3618 Ph: (217) 429-1512 |
Drs Graham & Graham Ltd Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 102 W Kenwood Ave, Suite 150, Decatur, IL 62526 Phone: 217-875-3668 Fax: 217-845-4277 | |
Edward C Elliott Iii, Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2 Memorial Dr Ste 305, Decatur, IL 62526 Phone: 217-876-4830 Fax: 217-876-8385 | |
Lynae Aileen Pierson, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1770 E Lake Shore Dr, Ste 100, Decatur, IL 62521 Phone: 217-429-1512 Fax: 217-423-1465 | |
Dr. Terrence M Graham, DPM,FACFAS Podiatrist Medicare: Medicare Enrolled Practice Location: 2 Memorial Dr Ste 305, Decatur, IL 62526 Phone: 217-876-4830 Fax: 217-876-8385 |