# CFAC INCORPORATED

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

## Provider details

- **NPI number:** 1982723623
- **Authorized official:** WILBERT MARC LEONARD DPM (OWNER)
- **Authorized official phone:** (309) 212-3066

## Contact information

- **Practice address:** 103 S JOHN ST, DWIGHT, IL 60420-1413
- **Practice address phone:** (815) 584-9000
- **Mailing address:** 9 MACKENZIE CT, BLOOMINGTON, IL 61704-7047
- **Mailing address phone:** (309) 212-3066

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 016004981 | IL | Yes |

## Other

- **Enumeration date:** 03/27/2007
- **Last updated:** 04/03/2013