ROBERT A. RALEY DPM SC - NPI 1437680402 - Podiatrist in Kankakee, IL

Q: What is the provider's specialty?

The provider's specialty is Podiatrist with taxonomy code 213E00000X.

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About Robert A. Raley Dpm Sc NPPES

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

ROBERT A. RALEY DPM SC (NPI 1437680402) is a healthcare organization registered as a podiatrist in Kankakee, Illinois and active in the NPI registry since March 2017. The organization lists Robert A Raley, President, as its authorized official.

NPPES Registry Identity

NPI1437680402

Entity TypeOrganization

Primary Taxonomy213E00000X

Legal Business NameROBERT A. RALEY DPM SC

Location Address70 MEADOWVIEW CTR, SUITE 401Kankakee, IL 60901-2047

Mailing Address70 Meadowview Ctr, Suite 401Kankakee, IL 60901-2047 · (815) 932-1724 · Fax (815) 932-1729

Phone(815) 932-1724

Fax(815) 932-1729

Organization SubpartYesParent: 1955

Authorized OfficialRobert A RaleyPresident · (815) 954-2243

Enumeration DateMarch 22, 2017

✔ NPI 1437680402 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 · 016003683

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.

70 MEADOWVIEW CTR, Kankakee, IL 60901

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP