PEORIA PODIATRY GROUP PC
Podiatry at Spring St, Peoria, IL

License number
Illinois 016003701
Category
Podiatry
Type
Primary Podiatric Medicine
Owner
Name: JOHN DANIEL RUFF DPM
Title: PRESIDENT
Phone: (309) 637-3668
Address
Address
614 Spring St, Peoria, IL 61603
National Provider ID: 1588813133
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PEORIA PODIATRY GROUP, PC

Peoria, IL 61614

Registration:
Jun 3, 2008
State ID:
66095452
Business type:
DOMESTIC BCA
Expiration:
PERPETUAL
Agent:
Kenneth R Eathington,227 NE Jefferson St, Peoria, IL 61602 (Physical)

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