| Podiatry & Sports Medicine Associates P.c. | |
| 351 S Greenleaf St, Suite C, Park City, IL 60085-5725 | |
| (847) 263-6073 | |
| (847) 244-7323 | 
| Full Name | Podiatry & Sports Medicine Associates P.c. | 
|---|---|
| Type | Facility | 
| Speciality | Podiatrist | 
| Location | 351 S Greenleaf St, Park City, Illinois | 
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1831385574 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 213E00000X | Podiatrist | 016004452 (Illinois) | Primary | 
| Provider Name | Lisa M Schoene | 
|---|---|
| Provider Type | Practitioner - Podiatry | 
| Provider Identifiers | NPI Number: 1891788139 PECOS PAC ID: 6507750957 Enrollment ID: I20040209000579 | 
| Provider Name | Erin M Smielewski | 
|---|---|
| Provider Type | Practitioner - Podiatry | 
| Provider Identifiers | NPI Number: 1609190693 PECOS PAC ID: 7113115791 Enrollment ID: I20101223000269 | 
| Provider Name | Sonu Joseph | 
|---|---|
| Provider Type | Practitioner - Podiatry | 
| Provider Identifiers | NPI Number: 1043662018 PECOS PAC ID: 8123351624 Enrollment ID: I20190617001135 | 
| Provider Name | Bruce A Bever | 
|---|---|
| Provider Type | Practitioner - Podiatry | 
| Provider Identifiers | NPI Number: 1841723145 PECOS PAC ID: 1557789369 Enrollment ID: I20200910002192 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Podiatry & Sports Medicine Associates P.c. 351 S Greenleaf St, Suite C, Park City, IL 60085-5725 Ph: (847) 263-6073 | Podiatry & Sports Medicine Associates P.c. 351 S Greenleaf St, Suite C, Park City, IL 60085-5725 Ph: (847) 263-6073 | 
| Bruce Bever Dpm Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 351 Greenleaf St Ste C, Park City, IL 60085 Phone: 312-498-1585 | |
| Family Foot And Ankle Surgeons Of Illinois, Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 401 Greenleaf St, Park City, IL 60085 Phone: 847-662-0978 | |
| Dr. Bruce A Bever, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 351 Greenleaf St Ste C, Park City, IL 60085 Phone: 847-263-6073 Fax: 847-244-7323 | |
| Lisa M Schoene, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 351 S Greenleaf St, Suite C, Park City, IL 60085 Phone: 847-263-6073 Fax: 847-244-7323 |