Rolens Podiatry Inc | |
1001 Clock Tower Dr, Suite A, Springfield, IL 62704-1383 | |
(217) 787-7513 | |
Not Available |
Full Name | Rolens Podiatry Inc |
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Type | Facility |
Speciality | Podiatrist |
Location | 1001 Clock Tower 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 |
---|---|---|---|
1558711903 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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213E00000X | Podiatrist | 016.005708 (Illinois) | Primary |
Provider Name | Joseph P Rolens |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1710329271 PECOS PAC ID: 3577854512 Enrollment ID: I20160622000030 |
Mailing Address | Practice Location Address |
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Rolens Podiatry Inc 1001 Clock Tower Dr, Suite A, Springfield, IL 62704-1383 Ph: (217) 787-7513 | Rolens Podiatry Inc 1001 Clock Tower Dr, Suite A, Springfield, IL 62704-1383 Ph: (217) 787-7513 |
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