Organization
ST. CHARLES FOOT AND ANKLE CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC BETTAG (OWNER)
(630) 584-4200
Entity
Organization
Contact information
Practice address
2320 DEAN ST STE 104, ST CHARLES, IL 60175-1068
(630) 584-4200
Mailing address
2320 DEAN ST STE 104, ST CHARLES, IL 60175-1068
(630) 584-4200
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
060007575
IL
Other
Enumeration date
07/25/2006
Last updated
01/16/2009
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