Organization
ALPINE FOOT SPECIALIST PC
Active
Other names
Alpine Foot Specialists PC, David A Charnota DPM
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN CHERRY (BILLING)
(847) 540-9949
Entity
Organization
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
332B00000X
Durable Medical Equipment & Medical Supplies
016003264
IL
335E00000X
Prosthetic/Orthotic Supplier
Primary
016003264
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
480003019
RAILROAD MEDICARE
IL
01
—
CL8623
RAILROAD MEDICARE
IL
Enumeration date
03/24/2008
Last updated
06/24/2020
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