Individual
DR. CARL JOHN CORTESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1607 VISA DR STE 5B, NORMAL, IL 61761-6160
(309) 452-3000
(309) 452-3668
Mailing address
1607 VISA DR STE 5B, NORMAL, IL 61761-6160
(309) 452-3000
(309) 452-3668
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016-002598
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016002598
—
IL
Enumeration date
08/11/2006
Last updated
01/02/2013
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