Organization
FOOTWORLD MEDICAL CENTER
Active
Organization
FOOTWORLD MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERNEST NWANI (CEO)
(309) 676-3668
Entity
Organization
Contact information
Practice address
409 N WESTERN AVE, PEORIA, IL 61606-1652
(309) 676-3668
Mailing address
409 N WESTERN AVE, PEORIA, IL 61606-1652
(309) 676-3668
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
—
—
Other
Enumeration date
03/04/2021
Last updated
03/04/2021
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