# EICKMEIER FOOT AND ANKLE CLINIC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013379270
- **Authorized official:** DR. KIMBERLY EICKMEIER DPM (OWNER)
- **Authorized official phone:** (217) 352-2573

## Contact information

- **Practice address:** 411 DEVONSHIRE DR, CHAMPAIGN, IL 61820-7286
- **Practice address phone:** (217) 352-2573
- **Mailing address:** 1806 N MARKET ST, CHAMPAIGN, IL 61822-1312

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 016004729 | IL | Yes |

## Other

- **Enumeration date:** 03/25/2016
- **Last updated:** 12/18/2018