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Dr. Ernest V. Isadore, DPM
Foot & Ankle Surgery Podiatrist in St Charles, Illinois
NPI 1558379008

Ernest V. Isadore is a Foot & Ankle Surgery Podiatrist based in St Charles, IL and is specialized in Foot & Ankle Surgery. Ernest V. Isadore practices in St Charles, IL and has the professional credentials of DPM. The NPI Number for Ernest V. Isadore is 1558379008 and holds a License No. 016-002699 (Illinois).

The current practice location address for Ernest V. Isadore is 2210 Dean Street, St Charles, IL and can be reached out via phone at 630-377-5001 and via fax at 630-377-5021. You can also correspond with Ernest V. Isadore through the mailing address at 2210 DEAN STREET, ST CHARLES, IL - 60175 (mailing address contact number: 630-377-5001).

Location: 2210 Dean Street, St Charles, IL, 60175
person
Provider Profile Details
NPI Number
1558379008
Provider Name
Ernest V. Isadore
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
2210 Dean Street, St Charles, IL, 60175
Phone Number
630-377-5001
Fax Number
630-377-5021
Provider Enumeration Date
08/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
363432665 01 IL TAX ID STC
480028367 01 IL RR MEDICARE
0004515235 01 IL BCBS STC
60100844 01 IL BCBS-AUR
institution
Provider Business Practice Location Address Details
Address
2210 Dean Street
City
State
Zip
60175
Phone Number
630-377-5001
Fax Number
630-377-5021
person
Provider Business Mailing Address Details
Address
2210 Dean Street
City
State
Zip
60175
Phone Number
630-377-5001
Fax Number
630-377-5021
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
016-002699 (Illinois)
Definition
Definition to come...
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