PRAIRIE PODIATRY L.L.C.

SPRINGFIELD, IL
NPI1144349747
Entity TypeOrganization
Authorized ContactJOHN ANDREW SHOUDEL
Owner
217-698-6228
Organization Subpart ?No
Primary Taxonomy213E00000X Podiatrist
(Licence: IL  016004443)
Enumeration Date2007-03-28
Last Update Date2022-02-22
Business Address
PRAIRIE PODIATRY L.L.C.
2070 W ILES AVE
SPRINGFIELD, IL 62704-4174
Phone number: 217-698-6228
Mailing Address
PRAIRIE PODIATRY L.L.C.
2070 W ILES AVE
SPRINGFIELD, IL 62704-4174
Phone number: 217-698-6228