Individual
KARLA STIPATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
2320 DEAN ST, SUITE 104, SAINT CHARLES, IL 60175-1068
(630) 584-4200
(630) 584-4257
Mailing address
2320 DEAN ST, SUITE 104, SAINT CHARLES, IL 60175-1068
(630) 584-4200
(630) 584-4257
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016004993
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016004993
—
IL
01
—
01632760
BCBS
IL
01
—
480033716
RAILROAD MEDICARE
IL
01
—
490033716
RAILROAD MEDICARE
IL
Enumeration date
08/11/2006
Last updated
12/14/2021
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