MCLEAN COUNTY FOOT & ANKLE, LTD. (NPI# 1700273190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700273190 |
| Entity Type | Organization |
| Organization Name | MCLEAN COUNTY FOOT & ANKLE, LTD. |
| Practice Address |
3801 Ge Rd Ste 4 Bloomington IL 61704 |
| Mailing Address |
3801 Ge Rd Ste 4 Bloomington IL 61704-4193 |
| Practice Telephone | 3096629001 |
| Practice Fax Number | 3096629005 |
| Mailing Telephone | 3096629001 |
| Mailing Fax Number | 3096629005 |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2019-01-11 |
| Authorized Official Name | GERALD PAUL (CO-OWNER) |
| Authorized Official Telephone | 3096629001 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
016005369 | IL | Podiatric Medicine & Surgery Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1505 Eastland Dr Ste 250, Bloomington, IL 617017906 | 3096629001 | 3096629005 |
| Street Address |
3801 GE RD STE 4 |
| City | BLOOMINGTON |
| State | IL |
| Zip Code | 61704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790791416 | Gerald W Paul | Podiatrist | 3801 Ge Rd Ste 4, Bloomington, IL 61704 | 2006-08-01 |
| 1306284369 | Aaron James Rossi | Specialist/Technologist, Other | 3801 Ge Rd Ste 4, Bloomington, IL 61704 | 2013-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518430859 | Visionpoint Eye Center LLC | Optometrist | 1107 Airport Road, Bloomington, IL 61704 | 2019-01-09 |
| 1922588235 | Geethu Sabu Makil | Speech-Language Pathologist | 1039 Blueheron Way, Apt#3, Bloomington, IL 61704 | 2018-08-16 |
| 1629596812 | Mental Wellness Center Inc | Counselor | 202 N Prospect Rd Ste 207, Bloomington, IL 61704 | 2017-09-07 |
| 1649798513 | Sarah Goodner | Psychologist | 1704 Royal Pointe Drive, Bloomington, IL 61704 | 2017-08-31 |
| 1346760253 | Elizabeth Devlin | Nurse Practitioner | 25 Long Cove Ct, Bloomington, IL 61704 | 2017-06-21 |
| 1396107918 | Darla Schwertfeger | Specialist/Technologist, Other | 2104 Hedgewood Dr, Bloomington, IL 61704 | 2016-03-23 |
| 1740662949 | Oncology Hematology Associates of Central Illinois | Pharmacy | 3105 Magory Drive, Bloomington, IL 61704 | 2015-06-24 |
| 1821478967 | Kelly R Andrews | Massage Therapist | 4101 Wicker Rd, Bloomington, IL 61704 | 2015-06-03 |
| 1235522582 | All Ways Caring Services, Inc. | In Home Supportive Care | 209 S Prospect Rd, Suite 3e, Bloomington, IL 61704 | 2015-03-11 |
| 1396093977 | Bhawna Gupta | Physical Therapist | 2200 East Washington Street, Bloomington, IL 61704 | 2012-08-29 |
| Find all providers in zip 61704 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457650467 | Premier Healthcare, LLC | Podiatrist | 490 S Landmark Ave, Bloomington, IN 47403-5000 | 2011-03-17 |
| 1497957161 | Family Foot and Ankle Center Inc | Podiatrist | 417 S. Landmark Avenue, Bloomington, IN 47403-5003 | 2007-06-04 |
| 1083635866 | Michael S Hoffman | Podiatrist | 203 W 1st St, Bloomington, IN 47403-2504 | 2006-07-21 |
| 1467847475 | Tracy Lee | Podiatrist | 1791 W 3rd St, Bloomington, IN 47404-5029 | 2015-04-06 |
| 1003048372 | Bloomington Podiatry Centre LLC | Podiatrist | 203 W 1st St, Bloomington, IN 47403-2504 | 2009-08-19 |
| 1518198639 | Gene Devane | Podiatrist | 583 S Clarizz Blvd, Bloomington, IN 47401-5515 | 2009-08-06 |
| 1659529311 | Heartland Foot and Ankle Associates, P.C. | Podiatrist | 10 Heartland Dr, Suite B, Bloomington, IL 61704-7775 | 2008-09-05 |
| 1669664595 | Melissa Jomarie Lockwood | Podiatrist | 10 Heartland Dr, Suite B, Bloomington, IL 61704-7741 | 2007-08-14 |
| 1053393355 | Gerry L Hash | Podiatrist | 583 S Clarizz Blvd, Bloomington, IN 47401-5515 | 2005-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154930485 | Mid America Foot & Ankle Specialist Illinois LLC | Podiatrist | 2003 Montgomery Rd Ste 108109, Aurora, IL 60504-9078 | 2020-07-22 |
| 1265040026 | Northern Illinois Foot & Ankle Specialists, Ltd | Podiatrist | 4121 Fairview Ave Ste 102, Downers Grove, IL 60515-2266 | 2020-07-17 |
| 1316563612 | Jacob Tilsley | Podiatrist | 610 S Maple Ave Ste 2250, Oak Park, IL 60304-1093 | 2020-06-22 |
| 1033738547 | C James Anderson Dpm LLC | Podiatrist | 1000 Eleven S Ste 3a, Columbia, IL 62236-1077 | 2020-04-14 |
| 1386263895 | C James Anderson Dpm LLC | Podiatrist | 717 Insight Ave Ste 100, O Fallon, IL 62269-2193 | 2020-04-14 |
| 1821631367 | Dr Christine Heck PC | Podiatrist | 111 N Wabash Ave Ste 1914, Chicago, IL 60602-2968 | 2019-10-28 |
| 1013562578 | Bishoy Atef Botros | Podiatrist | 820 S Damen Ave Fl 7, Chicago, IL 60612-3728 | 2019-08-01 |
| 1538623947 | Steven B Overpeck Dpm PC | Podiatrist | 25520 S Pheasant Ln Unit K, Channahon, IL 60410-8808 | 2019-01-30 |
| 1366916355 | Center for Foot and Ankle Surgery Ltd | Podiatrist | 654 W Veterans Pkwy Ste D, Yorkville, IL 60560-2510 | 2019-01-14 |
| 1497224950 | Northern Illinois Foot & Ankle Specialists, Ltd | Podiatrist | 1288 S Us Highway 12, Fox Lake, IL 60020-1950 | 2018-11-14 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMINGTON |
| Zip Code | 61704 |
Please comment or provide details below to improve the information on MCLEAN COUNTY FOOT & ANKLE, LTD..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.