Pekin Podiatric Medical Center, P.c | |
1505 Valle Vista Blvd, Pekin, IL 61554-6245 | |
(309) 347-6121 | |
(309) 347-8010 |
Full Name | Pekin Podiatric Medical Center, P.c |
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Type | Facility |
Speciality | Podiatrist |
Location | 1505 Valle Vista Blvd, Pekin, Illinois |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1518142439 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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213E00000X | Podiatrist | 016004868 (Illinois) | Primary |
Provider Name | Chao Vang |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1740241967 PECOS PAC ID: 6800978818 Enrollment ID: I20080130000282 |
Mailing Address | Practice Location Address |
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Pekin Podiatric Medical Center, P.c 1505 Valle Vista Blvd, Pekin, IL 61554-6245 Ph: (309) 347-6121 | Pekin Podiatric Medical Center, P.c 1505 Valle Vista Blvd, Pekin, IL 61554-6245 Ph: (309) 347-6121 |
Suzanne S White, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3305 Griffin Ave, Pekin, IL 61554 Phone: 309-347-3668 Fax: 309-347-3890 | |
John L Ruskusky, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3305 Griffin Ave, Pekin, IL 61554 Phone: 309-347-3886 Fax: 309-347-4002 | |
Dr. Kurt Larson Glesne, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2351 Broadway St, Pekin, IL 61554 Phone: 309-353-4159 Fax: 309-353-4531 | |
Gretchen M Evans, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3305 Griffin Ave, Pekin, IL 61554 Phone: 309-347-3668 Fax: 309-347-3890 | |
Jeffrey Robert Ruskusky, D.P.M. Podiatrist Medicare: May Accept Medicare Assignments Practice Location: 3305 Griffin Ave, Pekin, IL 61554 Phone: 217-528-7541 | |
Dr. Chao Vang, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1503 Valle Vista Blvd Ste C, Pekin, IL 61554 Phone: 309-347-6121 Fax: 309-347-8010 |