Organization
FOOT AND ANKLE MED/SURG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL JOHN CORTESE D.P.M. (PRESIDENT)
(309) 452-7112
Entity
Organization
Contact information
Practice address
1607 VISA DR STE 2A, NORMAL, IL 61761-6160
(309) 452-7112
Mailing address
1607 VISA DR STE 2A, NORMAL, IL 61761-6160
(309) 452-7112
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
03/04/2008
Last updated
03/04/2008
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