MEDICARE: MIDWEST FOOT AND ANKLE SPECIALISTS PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	060228083	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	132005	OTHER	IL	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1023231693
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIDWEST FOOT AND ANKLE SPECIALISTS PC

Provider Business Mailing Address
First Line	:	3740 E LAKE CTR
Second Line	:
City	:	QUINCY
State	:	IL
Zip	:	62305-5805
Country	:	US
Telephone Number	:	217-223-3668
Fax Number	:	217-223-3412

Provider Business Practice Location Address
First Line	:	3740 E LAKE CTR
Second Line	:
City	:	QUINCY
State	:	IL
Zip	:	62305-5805
Country	:	US
Telephone Number	:	217-223-3668
Fax Number	:	217-223-3412

Authorized Official
Title or Position	:	OWNER
Name	:	MR. DOUGLAS JOHN FREEL
Credential	:	DPM
Telephone Number	:	217-223-3668

Provider Enumeration Date	:	04/11/2007
Last Update Date	:	05/12/2008

Similar Medicare Providers

1760488514 — DR. COLETTA M MILLER D.D.S.
Practice Location Address:

3740 E LAKE CTR
QUINCY, IL
62305-5805

Practice Phone: 217-224-6789
Practice Fax: 217-224-9675

1043335292 — DR. JANET ELAINE MARTIN DMD
Practice Location Address:

3740 E LAKE CTR , SUITE B
QUINCY, IL
62305-5805

Practice Phone: 217-214-4545
Practice Fax: 217-214-4546

1932452893 — CUSTOM DENTAL CARE, P.C.
Practice Location Address:

3740 E LAKE CTR STE B
QUINCY, IL
62305-5805

Practice Phone: 217-214-4545
Practice Fax: 217-214-4546

1740667849 — MIDWEST ORTHOPEDIC SPECIALISTS INC
Practice Location Address:

3740 E LAKE CTR
QUINCY, IL
62305-5805

Practice Phone: 217-228-9422
Practice Fax:

1578915260 — SARA RODEFFER D.M.D
Practice Location Address:

3740 E LAKE CTR , SUITE B
QUINCY, IL
62305-5805

Practice Phone: 217-214-4545
Practice Fax:

1144898529 — JARED CRUTCHER DMD
Practice Location Address:

3740 E LAKE CTR
QUINCY, IL
62305-5805

Practice Phone: 217-214-4545
Practice Fax:

Directions to “MIDWEST FOOT AND ANKLE SPECIALISTS PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.