person
Alexandra Incandela, DPM
Foot & Ankle Surgery Podiatrist in Rockford, Illinois
NPI 1336796143

Alexandra Incandela is a Foot & Ankle Surgery Podiatrist based in Village Of Lakewood, IL and is specialized in Foot & Ankle Surgery. Alexandra Incandela practices in Rockford, IL and has the professional credentials of DPM. The NPI Number for Alexandra Incandela is 1336796143 and holds a License No. 135.001068 (Illinois).

The current practice location address for Alexandra Incandela is 5666 E State St, Rockford, IL and can be reached out via phone at 815-226-2000.

Location: 5666 E State St, Rockford, IL, 60014-6652
person
Provider Profile Details
NPI Number
1336796143
Provider Name
Alexandra Incandela
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
5666 E State St, Rockford, IL, 60014-6652
Phone Number
815-226-2000
Fax Number
Provider Enumeration Date
08/26/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5666 E State St
City
State
Zip
61108-2425
Phone Number
815-226-2000
Fax Number
person
Provider Business Mailing Address Details
Address
5666 E State St
City
State
Zip
61108-2425
Phone Number
815-226-2000
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
016.006003 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
135.001068 (Illinois)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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