Organization
CANEVA FOOT & ANKLE CLINIC, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARYL SCOTT CANEVA DPM (OWNER)
(815) 741-0791
Entity
Organization
Contact information
Practice address
200 N HAMMES AVE, JOLIET, IL 60435-6677
(815) 741-0791
(815) 741-9576
Mailing address
200 N HAMMES AVE, JOLIET, IL 60435-6677
(815) 741-0791
(815) 741-9576
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016004255
IL
Other
Enumeration date
09/18/2007
Last updated
02/04/2008
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