Organization
NORTHERN ILLINOIS PODIATRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD KEITH DICKEY DPM (OWNER)
(815) 233-0211
Entity
Organization
Contact information
Practice address
521 W MAIN ST, FREEPORT, IL 61032
(815) 233-0211
(815) 233-0214
Mailing address
521 W MAIN ST, FREEPORT, IL 61032
(815) 233-0211
(815) 233-0214
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
IL
Other
Enumeration date
05/11/2007
Last updated
08/22/2020
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