| K Medical, Pc | |
|
310 Laurel Dr, Fairview Heights, IL 62208-2421 | |
| (773) 895-3668 | |
| Not Available |
| Full Name | K Medical, Pc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 310 Laurel Dr, Fairview Heights, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669741518 | NPI | - | NPPES |
| 01608372 | Other | BC/BS | |
| 016004758 | Medicaid | IL | |
| 480032514 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 016-004758 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| K Medical, Pc 3651 N Tripp Ave, Chicago, IL 60641-3038 Ph: () - | K Medical, Pc 310 Laurel Dr, Fairview Heights, IL 62208-2421 Ph: (773) 895-3668 |
Foot & Ankle Center, Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 957 Lincoln Hwy, Fairview Heights, IL 62208 Phone: 618-632-4885 Fax: 618-632-0350 | |
Foot & Ankle Center, Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 5400 N Illinois St, Ste 101, Fairview Heights, IL 62208 Phone: 618-632-4885 Fax: 618-632-0350 |