# FOOT HEALTH CENTERS PC

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

## Provider details

- **NPI number:** 1912930793
- **Authorized official:** GINA M REAGAN (OFFICE ADMINISTRATOR)
- **Authorized official phone:** (618) 344-4449

## Contact information

- **Practice address:** 122 E ZUPAN ST, MARYVILLE, IL 62062-2010
- **Practice address phone:** (618) 344-4449
- **Practice address fax:** (618) 344-4551
- **Mailing address:** 122 E ZUPAN ST, MARYVILLE, IL 62062-2010
- **Mailing address phone:** (618) 344-4449
- **Mailing address fax:** (618) 344-4551

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 060-004872 | IL | Yes |

## Other

- **Enumeration date:** 07/08/2006
- **Last updated:** 05/23/2024