| Prairie Rock Foot & Ankle Clinic Ltd | |
|
2825 West Division Street, Manteno, IL 60950-1518 | |
| (815) 468-7117 | |
| (815) 468-7510 |
| Full Name | Prairie Rock Foot & Ankle Clinic Ltd |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 2825 West Division Street, Manteno, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437136926 | NPI | - | NPPES |
| 203799 | Other | IL | MEDICARE GROUP NUMBER |
| 480034698 | Other | IL | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (Illinois) | Primary |
| Provider Name | Robert P Martin |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1497732499 PECOS PAC ID: 1456352939 Enrollment ID: I20070125000531 |
| Provider Name | Rebecca J Hodulik |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1609853746 PECOS PAC ID: 2365546579 Enrollment ID: I20070328000292 |
| Provider Name | Elizabeth Hofmeister |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1104803105 PECOS PAC ID: 1254332513 Enrollment ID: I20101229000126 |
| Mailing Address | Practice Location Address |
|---|---|
| Prairie Rock Foot & Ankle Clinic Ltd 2825 West Division Street, Manteno, IL 60950-1518 Ph: (815) 468-7117 | Prairie Rock Foot & Ankle Clinic Ltd 2825 West Division Street, Manteno, IL 60950-1518 Ph: (815) 468-7117 |
Dr. Elizabeth M Hofmeister, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2825 West Division St, Manteno, IL 60950 Phone: 815-468-7117 Fax: 815-468-7510 | |
Dr. Robert P Martin, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2825 West Division Street, Manteno, IL 60950 Phone: 815-468-7117 Fax: 815-468-7510 | |
Dr. Rebecca J Hodulik, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2825 West Division St, Manteno, IL 60950 Phone: 815-468-7117 Fax: 815-468-7510 |