NPI 1164693180 · live from the CMS NPI Registry
Batavia Foot Clinic Ltd
Podiatrist in Batavia, IL. National Provider Identifier 1164693180, active.
NPI record
| NPI | 1164693180 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 119 S Batavia Ave, Batavia, IL 60510 |
| Practice phone | 630-879-2288 |
| Enumerated | March 18, 2008 |
| Last updated | June 18, 2008 |
| Authorized official | Chris Casillas, Podiatrist Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist primary | 213E00000X | 016003248 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.