Organization
PEKIN PODIATRIC MEDICAL CENTER, P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAO VANG D.P.M (PRESIDENT)
(309) 347-6121
Entity
Organization
Contact information
Practice address
1505 VALLE VISTA BLVD, PEKIN, IL 61554-6245
(309) 347-6121
(309) 347-8010
Mailing address
1505 VALLE VISTA BLVD, PEKIN, IL 61554-6245
(309) 347-6121
(309) 347-8010
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016004868
IL
Other
Enumeration date
01/09/2008
Last updated
04/30/2008
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