NPI 1134749088 · live from the CMS NPI Registry
Yvonne Elaine Baumrucker, DPM
Podiatrist, Foot & Ankle Surgery in Maryville, IL. National Provider Identifier 1134749088, active.
NPI record
| NPI | 1134749088 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 122 E Zupan St, Maryville, IL 62062 |
| Practice phone | 618-344-4449 |
| Enumerated | April 21, 2020 |
| Last updated | September 15, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | 016.006013 (IL) |
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.