| Foot & Ankle Center Of Illinois Pc | |
|
2921 Montvale Dr, Springfield, IL 62704-5359 | |
| (217) 787-2700 | |
| (217) 787-2715 |
| Full Name | Foot & Ankle Center Of Illinois Pc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Primary Podiatric Medicine |
| Location | 2921 Montvale Dr, Springfield, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598058547 | NPI | - | NPPES |
| 016005201 | Medicaid | IL | |
| P00145756 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213EP1101X | Podiatrist - Primary Podiatric Medicine | 016005201 (Illinois) | Primary |
| Provider Name | John M Sigle |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1174502868 PECOS PAC ID: 4587637194 Enrollment ID: I20040812001351 |
| Provider Name | Grant W Gonzalez |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1164856704 PECOS PAC ID: 1850604380 Enrollment ID: I20150713002639 |
| Provider Name | Christopher J Collazo |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1386198976 PECOS PAC ID: 3274876339 Enrollment ID: I20190515000078 |
| Provider Name | Liana Nisimova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992159313 PECOS PAC ID: 6901150499 Enrollment ID: I20200909001985 |
| Provider Name | Joseph Rundell |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1366970212 PECOS PAC ID: 6002231545 Enrollment ID: I20210302001083 |
| Provider Name | Zachary Kent Janes |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1104317775 PECOS PAC ID: 1850778192 Enrollment ID: I20230901001378 |
| Mailing Address | Practice Location Address |
|---|---|
| Foot & Ankle Center Of Illinois Pc 2921 Montvale Dr, Springfield, IL 62704-5359 Ph: (217) 787-2700 | Foot & Ankle Center Of Illinois Pc 2921 Montvale Dr, Springfield, IL 62704-5359 Ph: (217) 787-2700 |
Dr. Marla Kay Wilson, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1522 S 5th St, Springfield, IL 62703 Phone: 217-522-3622 Fax: 217-522-3046 | |
Siebert Podiatry Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 102 S Grand Ave W, Springfield, IL 62704 Phone: 217-523-4539 | |
Prairie Podiatry L.l.c. Podiatrist Medicare: Medicare Enrolled Practice Location: 2070 W Iles Ave, Springfield, IL 62704 Phone: 217-698-6228 Fax: 217-698-7241 | |
Dr. Grant Wilson Gonzalez, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2921 Montvale Dr, Springfield, IL 62704 Phone: 217-787-2700 Fax: 217-787-2715 | |
John M Sigle, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2921 Montvale Dr, Springfield, IL 62704 Phone: 217-793-9600 Fax: 217-793-9445 | |
Foot & Ankle Associates Of Central Il Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1603 West Washington, Springfield, IL 62702 Phone: 217-744-7529 | |
Foot & Ankle Associates Of Central Il Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3631 S 6th St, Springfield, IL 62703 Phone: 217-535-3685 |