Individual
LOUIS DENNIS SANTANGELO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
435 S MAIN ST, BOURBONNAIS, IL 60914-1918
(815) 933-1633
(847) 933-1728
Mailing address
435 S MAIN ST, BOURBONNAIS, IL 60914-1918
(815) 933-1633
(847) 933-1728
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016.005389
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00945764
RAILROAD MEDICARE
IL
01
—
P00958793
RAILROAD MEDICARE
IL
Enumeration date
09/22/2009
Last updated
05/03/2012
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