# MIDWEST PODIATRY GROUP, PC

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

## Provider details

- **NPI number:** 1184731663
- **Authorized official:** DR. DONALD JOE SHELLER DPM (PRESIDENT)
- **Authorized official phone:** (309) 686-1000

## Contact information

- **Practice address:** 3827 N PROSPECT RD, PEORIA, IL 61616-7767
- **Practice address phone:** (309) 686-1000
- **Mailing address:** 3827 N PROSPECT RD, PEORIA, IL 61616-7767
- **Mailing address phone:** (309) 686-1000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 016003172 | IL | Yes |

## Other

- **Enumeration date:** 08/23/2006
- **Last updated:** 03/17/2010