Peoria Podiatry Group Pc

LBN: Peoria Podiatry Group Pc
Peoria Podiatry Group Pc is an health care organization with primary practice located at 614 Spring St , Peoria IL 61603-4133. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as the primary health care specialty. Peoria Podiatry Group Pc can be contacted via phone (309) 637-2325, or through Ruff, John Daniel via phone (309) 637-3668.

Contact Information

Primary practice address
614 Spring St Peoria IL 61603-4133
Phone: (309) 637-2325
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ruff, John Daniel Doctor of Podiatric Medicine (DPM)
Phone: (309) 637-3668

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 016003701 Illinois

Profile Details

NPI number 1588813133
LBN Legal business name Peoria Podiatry Group Pc
DBA Doing business as
Authorized official Ruff, John Daniel Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 18th, 2008
Last updated Jul 24th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588813133 NPPES
Illinois Other 1366440166 JOHN D RUFF DPM
Illinois MEDICAID 016003701 JOHN D RUFF DPM
Illinois Other 1598926289(INDNPI) JOHN D RUFF DPM
Illinois Other 1588813133 (GRP NPI) JOHN D RUFF DPM
Illinois Other 1588813133(GRP.NPI) JOHN D RUFF DPM

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