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PREMIER PODIATRY
NPI 1770027930
Podiatrist - Foot & Ankle Surgery in Bloomington, IL

Active since December 07, 2016
2501 E COLLEGE AVE STE C, BLOOMINGTON, IL 61704(309) 807-0384 Get Directions Write a Review

NPPES record last updated: September 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Premier Podiatry NPPES

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

PREMIER PODIATRY (NPI 1770027930) is a healthcare organization registered as a foot & ankle surgery in Bloomington, Illinois and active in the NPI registry since December 2016. The organization lists Scott Oconnor, Member, as its authorized official.

NPPES Registry Identity

NPI1770027930
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NamePRO PODIATRY, LLC
Location Address2501 E COLLEGE AVE STE CBloomington, IL 61704-2484
Mailing Address1512 W Reynolds St Ste APontiac, IL 61764-9788
Phone(309) 807-0384
Organization SubpartNo
Authorized OfficialScott OconnorMember · (309) 807-0384
Enumeration DateDecember 7, 2016
Last NPPES UpdateSeptember 1, 2022
NPPES CertifiedSeptember 1, 2022
✔ NPI 1770027930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in IL · 016005106
2501 E COLLEGE AVE STE C, Bloomington, IL 61704
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Other Names 1

Doing Business AsPremier Podiatry

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

Other Providers at the Same Location NPPES 7

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

CENTRAL ILLINOIS CENTER FOR WELLNESS, LLC
Clinic/Center (Primary Care)
2501 E COLLEGE AVE STE C
BLOOMINGTON, IL 61704
McLean County (309) 807-5356
LIVING WELL INTEGRATIVE CHRISTIAN WOMENS HEALTHCARE PLLC
Nurse Practitioner (Women's Health)
2501 E COLLEGE AVE STE C
BLOOMINGTON, IL 61704
McLean County (309) 336-4743
HILLMAN CHIROPRACTIC P.C.
Chiropractor
2501 E COLLEGE AVE STE C
BLOOMINGTON, IL 61704
McLean County (309) 661-1155
CASEY KRAHN DC
Chiropractor
2501 E COLLEGE AVE STE C
BLOOMINGTON, IL 61704
McLean County (309) 661-1155
DR. WILLIAM JOHN RAY M.D.
Internal Medicine
2501 E COLLEGE AVE STE C
BLOOMINGTON, IL 61704
McLean County (309) 807-5356
MRS. ANGELA THERESE KLEIN APN
Nurse Practitioner (Women's Health)
2501 E COLLEGE AVE STE C
BLOOMINGTON, IL 61704
McLean County (309) 336-4743
DR. JUSTIN P HILLMAN D.C.
Chiropractor
2501 E COLLEGE AVE STE C
BLOOMINGTON, IL 61704
McLean County (309) 661-1155

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 Pro Podiatry, LLC's NPI number?

The NPI number for Pro Podiatry, LLC is 1770027930. It was assigned to this organization in the NPPES registry on December 7, 2016. The provider is doing business as Premier Podiatry.

Where is Pro Podiatry, LLC located?

Pro Podiatry, LLC is located at 2501 E College Ave Ste C, Bloomington, IL 61704. The listed phone number is (309) 807-0384.

What is Pro Podiatry, LLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for Pro Podiatry, LLC was last updated on September 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.