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Individual

DR. CRAIG THOMAS CORTESE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
1607 VISA DR STE 5B, NORMAL, IL 61761-6160
(309) 452-3000
(309) 452-3668
Mailing address
1607 VISA DR STE 5B, NORMAL, IL 61761-6160
(309) 452-3000
(309) 452-3668

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016-005065
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
016005065
IL
Enumeration date
08/11/2006
Last updated
04/08/2011
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