Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Family Foot & Ankle Clinic PC

Organization Podiatrist · NPI 1629127741

Family Foot & Ankle Clinic PC provides Podiatrist services in Decatur, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1390 N Fairview Ave
Decatur, IL 62526-3618 Not confirmed with CMS for 15 years — call before visiting
Phone: (217) 429-1512
Fax: (217) 423-1465
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 060008117 (IL)

Record details

NPI number1629127741
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephen Kovach — President · (217) 429-1512
NPI enumeratedJanuary 9, 2007
Last updated in NPPESFebruary 17, 2011
Mailing address1390 N Fairview Ave, Decatur, IL 62526-3618

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