Individual
EDWARD C ELLIOTT III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2 MEMORIAL DR STE 305, DECATUR, IL 62526-3999
(217) 876-4830
(217) 876-8385
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
DP220790
OR
213E00000X
Podiatrist
016-005738
IL
Other
Enumeration date
03/28/2013
Last updated
03/11/2026
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