Scott O'connor, Dpm | |
1512 W Reynolds St Ste A, Pontiac, IL 61764-9788 | |
(815) 842-6551 | |
(815) 844-4106 |
Full Name | Scott O'connor, Dpm |
---|---|
Type | Facility |
Speciality | Podiatrist |
Location | 1512 W Reynolds St Ste A, Pontiac, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497054720 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 016-005106 (Illinois) | Primary |
Mailing Address | Practice Location Address |
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Scott O'connor, Dpm 1512-a Reynolds, Pontiac, IL 61764-1745 Ph: (815) 842-6551 | Scott O'connor, Dpm 1512 W Reynolds St Ste A, Pontiac, IL 61764-9788 Ph: (815) 842-6551 |
Central Illinois Foot & Ankle Center Podiatrist Medicare: Medicare Enrolled Practice Location: 1512 W Reynolds St, Suite A, Pontiac, IL 61764 Phone: 815-842-6551 | |
Dr. Scott B O'connor, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1512 W Reynolds St Ste A, Pontiac, IL 61764 Phone: 815-842-6551 |