| Siebert Podiatry Pc | |
|
102 S Grand Ave W, Springfield, IL 62704-3806 | |
| (217) 523-4539 | |
| Not Available |
| Full Name | Siebert Podiatry Pc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 102 S Grand Ave W, Springfield, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063535656 | NPI | - | NPPES |
| 60115587 | Other | IL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 060.001013 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Siebert Podiatry Pc 102 S Grand Ave W, Springfield, IL 62704-3806 Ph: (217) 523-4539 | Siebert Podiatry Pc 102 S Grand Ave W, Springfield, IL 62704-3806 Ph: (217) 523-4539 |
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