| Organization Name: | FOOT AND ANKLE ASSOCIATES OF CENTRAL ILLINOIS LLC |
| NPI Number: | 1033233739 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN FLEISCHLI (PRESIDENT) |
| Mailing Address: | 100 W 15th St Beardstown |
| State: | IL US |
| Postal Code: | 626181774 |
| Phone Number: | 2173232707 |
| Fax Number: | |
| NPI Enumeration Date: | 03/19/2007 |
| NPI Last Update Date: | 09/07/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | 016004737 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |