| Midwest Podiatry Group, Pc | |
|
3827 N Prospect Rd, Peoria, IL 61616-7767 | |
| (309) 686-1000 | |
| Not Available |
| Full Name | Midwest Podiatry Group, Pc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 3827 N Prospect Rd, Peoria, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184731663 | NPI | - | NPPES |
| 016003172 | Medicaid | IL | |
| DA0891 | Other | IL | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 016003172 (Illinois) | Primary |
| Provider Name | Donald Joe Sheller |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1942270434 PECOS PAC ID: 4587743612 Enrollment ID: I20100618000809 |
| Provider Name | Christine C Kancius |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1013928365 PECOS PAC ID: 7214016344 Enrollment ID: I20100618000814 |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Podiatry Group, Pc 3827 N Prospect Rd, Peoria, IL 61616-7767 Ph: (309) 686-1000 | Midwest Podiatry Group, Pc 3827 N Prospect Rd, Peoria, IL 61616-7767 Ph: (309) 686-1000 |
Dr. Fahed Nazem Elchami, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 6000 N Allen Rd, Peoria, IL 61614 Phone: 309-691-1400 Fax: 309-689-7094 | |
Todd J Karas, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 4507 N Sterling Ave, #102, Peoria, IL 61615 Phone: 309-272-7322 Fax: 309-272-2251 | |
Dr. Anthony V Deceanne, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 5017 N Glen Park Place Rd, Peoria, IL 61614 Phone: 309-691-1589 Fax: 309-692-2032 | |
Mark Alan Smith, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3322 W Willow Knolls Dr, Peoria, IL 61614 Phone: 309-691-5800 Fax: 309-691-1336 | |
Dr. Curtis L Ward, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 5017 N Glen Park Place Rd, Peoria, IL 61614 Phone: 309-691-1589 Fax: 309-692-2032 | |
Muhammad Daniyal Burhan, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3322 W Willow Knolls Dr, Peoria, IL 61614 Phone: 309-691-5800 Fax: 309-691-1336 |