# FOOT AND ANKLE MED/SURG

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467622571
- **Authorized official:** DR. CARL JOHN CORTESE D.P.M. (PRESIDENT)
- **Authorized official phone:** (309) 452-7112

## Contact information

- **Practice address:** 1607 VISA DR STE 2A, NORMAL, IL 61761-6160
- **Practice address phone:** (309) 452-7112
- **Mailing address:** 1607 VISA DR STE 2A, NORMAL, IL 61761-6160
- **Mailing address phone:** (309) 452-7112

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 03/04/2008
- **Last updated:** 03/04/2008