Organization
FAMILY FOOT & ANKLE CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN KOVACH DPM (PRESIDENT)
(217) 429-1512
Entity
Organization
Contact information
Practice address
1390 N FAIRVIEW AVE, DECATUR, IL 62526-3618
(217) 429-1512
(217) 423-1465
Mailing address
1390 N FAIRVIEW AVE, DECATUR, IL 62526-3618
(217) 429-1512
(217) 423-1465
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
060008117
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016004984
—
IL
05
—
016004985
—
IL
01
—
CK6281
RAILROAD MEDICARE -
IL
Enumeration date
01/09/2007
Last updated
02/17/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us