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MARK ALAN SMITH DPM
NPI 1093885378
Podiatrist in Peoria, IL

Active since November 08, 2006
3322 W WILLOW KNOLLS DR, PEORIA, IL 61614(309) 691-5800(309) 691-1336 Get Directions Write a Review

NPPES record last updated: December 3, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark Alan Smith Dpm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK ALAN SMITH DPM (NPI 1093885378) is an individual podiatrist in Peoria, Illinois, licensed in Illinois (016004790) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1093885378
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameMARK ALAN SMITHCredential: DPM
Location Address3322 W WILLOW KNOLLS DRPeoria, IL 61614
Mailing Address3322 W Willow Knolls DrPeoria, IL 61614 · (309) 691-5800 · Fax (309) 691-1336
Phone(309) 691-5800
Fax(309) 691-1336
Sole ProprietorNo
Enumeration DateNovember 8, 2006
Last NPPES UpdateDecember 3, 2009
✔ NPI 1093885378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in IL · 016004790
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
3322 W WILLOW KNOLLS DR, Peoria, IL 61614
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Other Identifiers 7

Other928270IL · Medicare Provider
Other480022534IL · Railroad Medicare
Medicare UPINU63052IL
Medicaid016004790IL
Medicare PINL55392IL
Other0007215174IL · Blue Cross Blue Shield
Medicare NSC0515580002IL

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MUHAMMAD DANIYAL BURHAN D.P.M.
Podiatrist (Foot & Ankle Surgery)
3322 W WILLOW KNOLLS DR
PEORIA, IL 61614
Peoria County (309) 691-5800
THOMAS KEVIN BRATTAIN DPM
Podiatrist
3322 W WILLOW KNOLLS DR
PEORIA, IL 61614
Peoria County (309) 691-5800
PATRICIA GEFFRE-STARR
Massage Therapist
3322 W WILLOW KNOLLS DR
PEORIA, IL 61614
Peoria County (309) 690-3322
HANNAN ZAHID
Podiatrist (Foot & Ankle Surgery)
3322 W WILLOW KNOLLS DR
PEORIA, IL 61614
Peoria County (309) 691-5800
MRS. MICHELLE L CARLSON LMT
Massage Therapist
3322 W WILLOW KNOLLS DR, SUITE B
PEORIA, IL 61614
Peoria County (309) 690-3322
JUSTIN R. AHLMAN, M.D.
Anesthesiology
3322 W WILLOW KNOLLS DR
PEORIA, IL 61614
Peoria County (309) 264-6124
KISHAN PATEL DPM
Podiatrist
3322 W WILLOW KNOLLS DR
PEORIA, IL 61614
Peoria County (309) 691-5800
LEANDRE KENNEDY DPM
Podiatrist (Foot & Ankle Surgery)
3322 W WILLOW KNOLLS DR
PEORIA, IL 61614
Peoria County (309) 691-5800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Smith's NPI number?

The NPI number for Mark Smith is 1093885378. It was assigned to this individual provider in the NPPES registry on November 8, 2006.

Where is Mark Smith located?

Mark Smith practices at 3322 W Willow Knolls Dr, Peoria, IL 61614. The listed phone number is (309) 691-5800.

What is Mark Smith's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Mark Smith was last updated on December 3, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.