Organization
CANEVA FOOT & ANKLE CLINIC, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARYL SCOTT CANEVA DPM (OWNER)
(815) 741-0791
Entity
Organization
Contact information
Practice address
200 N HAMMES AVE, STE E, JOLIET, IL 60435-6677
(815) 741-0791
(815) 741-9576
Mailing address
200 N HAMMES AVE, JOLIET, IL 60435-6677
(815) 741-0791
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
11/17/2022
Last updated
11/17/2022
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