| Tina R. Entwistle, D.p.m., P.c. | |
|
6778 Mill Rd, Suite 100, Rockford, IL 61108-2502 | |
| (815) 227-0041 | |
| Not Available |
| Full Name | Tina R. Entwistle, D.p.m., P.c. |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 6778 Mill Rd, Rockford, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740463678 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 016-005194 (Illinois) | Primary |
| Provider Name | Tina Renee Entwistle |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1598985939 PECOS PAC ID: 1759462781 Enrollment ID: I20080116000413 |
| Mailing Address | Practice Location Address |
|---|---|
| Tina R. Entwistle, D.p.m., P.c. 6778 Mill Rd, Suite 100, Rockford, IL 61108-2502 Ph: () - | Tina R. Entwistle, D.p.m., P.c. 6778 Mill Rd, Suite 100, Rockford, IL 61108-2502 Ph: (815) 227-0041 |
Dr. Douglas Joseph Pacaccio, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 5875 E Riverside Blvd, Rockford, IL 61114 Phone: 815-398-9491 Fax: 815-381-7498 | |
William J Bush, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 324 Roxbury Rd, Rockford, IL 61107 Phone: 815-398-9491 Fax: 815-381-7498 | |
Dr. Mary White Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 6451 E Riverside Blvd, Ste 104, Rockford, IL 61114 Phone: 815-282-4000 | |
Dr. Donald C Bisby, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 324 Roxbury Rd, Rockford, IL 61107 Phone: 815-398-9491 | |
Footsteps Of Illinois, Pllc Podiatrist Medicare: Medicare Enrolled Practice Location: 6999 Redansa Dr Ste 5a, Rockford, IL 61108 Phone: 815-229-1008 | |
Dr. Paul A Galluzzo, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 6999 Redansa Drive, Rockford, IL 61108 Phone: 815-229-1008 Fax: 815-229-1654 | |
Thomas A Runne Dpm Ltd Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1437 S Bell School Rd Ste 2, Rockford, IL 61108 Phone: 815-284-2023 |