| Premier Foot And Ankle Of Illinois, Pc | |
|
6810 State Route 162, Suite 20, Maryville, IL 62062-8587 | |
| (618) 288-2835 | |
| (618) 288-6162 |
| Full Name | Premier Foot And Ankle Of Illinois, Pc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 6810 State Route 162, Maryville, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467867234 | NPI | - | NPPES |
| F100153987 | Other | IL | MEDICARE PTAN GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 016.005608 (Illinois) | Primary |
| Provider Name | Gabriel Cardenas |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1043521719 PECOS PAC ID: 8426203191 Enrollment ID: I20140801001524 |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Foot And Ankle Of Illinois, Pc 6810 State Route 162, Suite 20, Maryville, IL 62062-8587 Ph: (618) 288-2835 | Premier Foot And Ankle Of Illinois, Pc 6810 State Route 162, Suite 20, Maryville, IL 62062-8587 Ph: (618) 288-2835 |
Dr. Gabriel Cardenas Jr., D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 6810 State Route 162, Suite 20, Maryville, IL 62062 Phone: 618-288-2835 Fax: 618-288-6162 | |
Yvonne Elaine Baumrucker, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 122 E Zupan St, Maryville, IL 62062 Phone: 618-344-4449 | |
Renew Foot Care Group Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2035 Briarbend Ct, Maryville, IL 62062 Phone: 618-741-6768 | |
Louis Aquino, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 122 E Zupan St, Maryville, IL 62062 Phone: 618-344-4449 | |
Foot Health Center Inc P C Podiatrist Medicare: Medicare Enrolled Practice Location: 122 E Zupan St, Maryville, IL 62062 Phone: 618-344-4449 Fax: 618-344-4551 | |
Dr. David W Kinscherff, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 122 E Zupan St, Maryville, IL 62062 Phone: 618-344-4449 Fax: 618-344-4551 |