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1144349747
PRAIRIE PODIATRY L.L.C.
SPRINGFIELD, IL
NPI
1144349747
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Entity Type
Organization
Authorized Contact
JOHN ANDREW SHOUDEL
Owner
217-698-6228
Organization Subpart ?
No
Primary Taxonomy
213E00000X Podiatrist
(Licence: IL 016004443)
Enumeration Date
2007-03-28
Last Update Date
2022-02-22
Business Address
PRAIRIE PODIATRY L.L.C.
2070 W ILES AVE
SPRINGFIELD, IL 62704-4174
Phone number: 217-698-6228
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Mailing Address
PRAIRIE PODIATRY L.L.C.
2070 W ILES AVE
SPRINGFIELD, IL 62704-4174
Phone number: 217-698-6228
Copy
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