Unknown Individual – Podiatrist, NPI 1790791416
Podiatrist
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
1505 Eastland Dr
Suite 250
Bloomington, IL 61701
Phone: (309) 662-9001
Fax: (309) 662-9005
Type: Location
General Electric Road, Bloomington, McLean County, Illinois, 61767, United States
BLOOMINGTON, IL 617044193
Phone: (309) 662-9001
Fax: (309) 662-9005
Type: Mailing
NPPES updates history
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Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 61701)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PODIATRY | IL | 73630 | X-ray of foot, minimum of 3 views | 256 | 155 |
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