| Freeport Podiatry Services, Llc | |
|
1201 W Empire St, Freeport, IL 61032-6106 | |
| (815) 232-8015 | |
| (815) 235-1376 |
| Full Name | Freeport Podiatry Services, Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 1201 W Empire St, Freeport, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578752796 | NPI | - | NPPES |
| 016003850 | Medicaid | IL | |
| 0060201289 | Other | IL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 016003850 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Freeport Podiatry Services, Llc 1201 W Empire St, Freeport, IL 61032-6106 Ph: (815) 232-8015 | Freeport Podiatry Services, Llc 1201 W Empire St, 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 | |
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 | |
Dr. Roland A Tolliver Jr., D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: Freeport Podiatry Services, Llc, 1201 West Empire Street, Freeport, IL 61032 Phone: 815-232-8015 Fax: 815-235-1376 |