| Cortese Foot And Ankle Clinic, P.c. | |
| 
					1607 Visa Dr Ste 5b, Normal, IL 61761-6160  | |
| (309) 452-3000 | |
| (309) 452-3668 | 
| Full Name | Cortese Foot And Ankle Clinic, P.c. | 
|---|---|
| Type | Facility | 
| Speciality | Podiatrist - Foot & Ankle Surgery | 
| Location | 1607 Visa Dr Ste 5b, Normal, Illinois | 
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1962414961 | NPI | - | NPPES | 
| 016002598 | Medicaid | IL | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 060-008632 (Illinois) | Primary | 
| Provider Name | Carl J Cortese | 
|---|---|
| Provider Type | Practitioner - Podiatry | 
| Provider Identifiers | NPI Number: 1992716914 PECOS PAC ID: 3577540947 Enrollment ID: I20040702000667  | 
| Provider Name | Craig T Cortese | 
|---|---|
| Provider Type | Practitioner - Podiatry | 
| Provider Identifiers | NPI Number: 1124030192 PECOS PAC ID: 8123005592 Enrollment ID: I20040702000751  | 
| Provider Name | William Lee Noonan | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1952319154 PECOS PAC ID: 1052335577 Enrollment ID: I20060123000732  | 
| Provider Name | Kimberly M Eickmeier | 
|---|---|
| Provider Type | Practitioner - Podiatry | 
| Provider Identifiers | NPI Number: 1811903651 PECOS PAC ID: 9830213545 Enrollment ID: I20100902000263  | 
| Provider Name | Steven W Yeschek | 
|---|---|
| Provider Type | Practitioner - Podiatry | 
| Provider Identifiers | NPI Number: 1215338157 PECOS PAC ID: 4082944194 Enrollment ID: I20191002001546  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Cortese Foot And Ankle Clinic, P.c. 1607 Visa Dr Ste 5b, Normal, IL 61761-6160 Ph: (309) 452-3000  | Cortese Foot And Ankle Clinic, P.c. 1607 Visa Dr Ste 5b, Normal, IL 61761-6160 Ph: (309) 452-3000  | 
Dr. Craig Thomas Cortese, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1607 Visa Dr Ste 5b, Normal, IL 61761 Phone: 309-452-3000 Fax: 309-452-3668  | |
Foot And Ankle Med/surg Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1607 Visa Dr Ste 2a, Normal, IL 61761 Phone: 309-452-7112  | |
Dr. Carl John Cortese, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1607 Visa Dr Ste 5b, Normal, IL 61761 Phone: 309-452-3000 Fax: 309-452-3668  |