Individual
DR. DAVID ANTHONY CHARNOTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
765 ELA ROAD, SUITE 100, LAKE ZURICH, IL 60047-2339
(847) 540-9949
(847) 540-9971
Mailing address
765 ELA ROAD, SUITE 100, LAKE ZURICH, IL 60047-2339
(847) 540-9949
(847) 540-9971
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016003264
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
480003019
RAILROAD MEDICARE
IL
Enumeration date
08/12/2006
Last updated
08/03/2009
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