Individual
ISIDRO S TOLOD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 SAINT ANTHONYS WAY, ALTON, IL 62002-4568
(618) 465-4511
(618) 474-6018
Mailing address
PO BOX 952100, SAINT LOUIS, MO 63195-2100
(314) 821-8055
(314) 821-1833
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
166253
HEALTHLINK
IL
01
—
4503813
AETNA
IL
01
—
45454
GHP
IL
01
—
C44676
MERCY
IL
Enumeration date
11/22/2005
Last updated
07/08/2007
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