| Mclean Foot Clinic,p.c. | |
|
400 N Division St, Harvard, IL 60033-3061 | |
| (815) 943-7709 | |
| (847) 931-7726 |
| Full Name | Mclean Foot Clinic,p.c. |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 400 N Division St, Harvard, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760437602 | NPI | - | NPPES |
| 0005632037,004454016 | Other | IL | BLUECROSS BLUESHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | (Illinois) | Primary |
| Provider Name | Irshad A Siddique |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1700888187 PECOS PAC ID: 7810908225 Enrollment ID: I20060524000197 |
| Provider Name | Hiba Siddique Hasan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1518464734 PECOS PAC ID: 8729492376 Enrollment ID: I20210921002774 |
| Mailing Address | Practice Location Address |
|---|---|
| Mclean Foot Clinic,p.c. 400 N Division St, Harvard, IL 60033-3061 Ph: (815) 943-7709 | Mclean Foot Clinic,p.c. 400 N Division St, Harvard, IL 60033-3061 Ph: (815) 943-7709 |
Mykola Lisowsky, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1819 N Division St, Harvard, IL 60033 Phone: 815-943-8122 | |
Dr. Irshad Ahmed Siddique, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 400 N Division St, Harvard, IL 60033 Phone: 815-943-7709 Fax: 847-931-7726 |