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Organization
QUINCY FAMILY FOOT CARE, PC
Active
Organization
QUINCY FAMILY FOOT CARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS J WENSING DPM (PRESIDENT)
(217) 222-6266
Entity
Organization
Contact information
Practice address
601 S 8TH ST, QUINCY, IL 62301-4909
(217) 222-6266
Mailing address
601 S 8TH ST, QUINCY, IL 62301-4909
(217) 222-6266
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
060008140
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
203439
MEDICARE PTAN
IL
Enumeration date
07/26/2005
Last updated
09/11/2023
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