Organization
ASSOCIATED FOOT SURGEONS OF BELLEVILLE, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIM M REICHERT DPM (OWNER PRESIDENT)
(618) 277-5700
Entity
Organization
Contact information
Practice address
2900 FRANK SCOTT PKWY W, SUITE 900, BELLEVILLE, IL 62223-5000
(618) 277-5700
(618) 257-7049
Mailing address
2900 FRANK SCOTT PKWY W, SUITE 900, BELLEVILLE, IL 62223-5000
(618) 277-5700
(618) 257-7049
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016-003257
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CL3167
RAILROAD PTAN
IL
Enumeration date
02/16/2007
Last updated
01/09/2013
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