# PODIATRY AT HOME, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PODIATRY AT HOME, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1174192801
- **Legal business name:** PODIATRY AT HOME, LLC
- **Authorized official:** DR. ANDREA EVE GILLIO DPM (DOCTOR, OWNER)
- **Authorized official phone:** (563) 362-8170

## Contact information

- **Practice address:** 5656 JUDGE RD, BETTENDORF, IA 52722-1211
- **Practice address phone:** (563) 362-8170
- **Practice address fax:** (872) 333-9156
- **Mailing address:** 5656 JUDGE RD, BETTENDORF, IA 52722-1211
- **Mailing address phone:** (563) 362-8170
- **Mailing address fax:** (872) 333-9156

## Taxonomy

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

## Other

- **Enumeration date:** 06/17/2021
- **Last updated:** 06/17/2021