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NPI Code Detail

MEDICARE: DR. DOUGLAS JOHN FREEL DPM

MEDICARE: DR. DOUGLAS JOHN FREEL DPM
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
1213ES0131XFoot Surgery Podiatrist000712MO
2213ES0131XFoot Surgery Podiatrist016-003720IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1009464OTHERHEALTH ALLIANCE
23074226001OTHERCIGNA
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
400132005OTHERILBLUE CROSS/BLUE SHIELD
5127214OTHERHEALTHLINK

General Provider Information

NPI Number : 1184614653
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DOUGLAS JOHN FREEL DPM
Provider Business Mailing Address
First Line : 5012 STARBOARD DR
Second Line :
City : QUINCY
State : IL
Zip : 62305-8280
Country : US
Telephone Number : 217-316-1260
Fax Number :
Provider Business Practice Location Address
First Line : 1118 HAMPSHIRE ST
Second Line :
City : QUINCY
State : IL
Zip : 62301-3027
Country : US
Telephone Number : 217-222-6550
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2005
Last Update Date : 06/25/2025

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Directions to “ DR. DOUGLAS JOHN FREEL DPM” Practice Location

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