| Kirk M Bott Dba Logan Avenue Foot Clinic | |
|
612 N Logan Avenue, Danville, IL 61832 | |
| (217) 442-4186 | |
| Not Available |
| Full Name | Kirk M Bott Dba Logan Avenue Foot Clinic |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 612 N Logan Avenue, Danville, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639391907 | NPI | - | NPPES |
| 1376655019 | Other | IL | INDIVIDUAL NPI # |
| 4449930001 | Other | DMERC | |
| CE0883 | Other | RAILROAD MEDICARE GROUP | |
| 1649379504 | Other | IL | INDIVIDUAL NPI # |
| 480010681 | Other | RAILROAD MEDICARE INDIVID | |
| P00380788 | Other | RAILROAD MEDICARE INDIVID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 016003907 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kirk M Bott Dba Logan Avenue Foot Clinic 612 N Logan Avenue, Danville, IL 61832 Ph: (217) 442-4186 | Kirk M Bott Dba Logan Avenue Foot Clinic 612 N Logan Avenue, Danville, IL 61832 Ph: (217) 442-4186 |
Dr. Denise Fischer, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 800 N Logan Ave Ste 104, Danville, IL 61832 Phone: 217-431-4280 | |
Fischer Foot Clinic Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 800 N Logan Ave, Suite 104, Danville, IL 61832 Phone: 217-431-4280 Fax: 217-431-4834 | |
Dr. Edward Chen, DPM, MD Podiatrist Medicare: Medicare Enrolled Practice Location: 3222 Independence Dr, Danville, IL 61832 Phone: 217-431-1600 | |
Dr. Sarah Danielle Miller, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 1900 E Main St, Danville, IL 61832 Phone: 217-554-3000 | |
Kirk M Bott, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 707 N Logan Ave, Danville Polyclinic, Ltd., Danville, IL 61832 Phone: 217-442-4186 Fax: 217-442-8336 | |
Dr. Viseth Jonathan Lieu, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 1900 E Main St, Danville, IL 61832 Phone: 217-554-3000 |