| St. Charles Foot And Ankle Center Pc | |
| 
					2320 Dean St Ste 104, St Charles, IL 60175-1068  | |
| (630) 584-4200 | |
| Not Available | 
| Full Name | St. Charles Foot And Ankle Center Pc | 
|---|---|
| Type | Facility | 
| Speciality | Podiatrist | 
| Location | 2320 Dean St Ste 104, St Charles, Illinois | 
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1659393692 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 213E00000X | Podiatrist | 060007575 (Illinois) | Primary | 
| Provider Name | Karla L Stipati | 
|---|---|
| Provider Type | Practitioner - Podiatry | 
| Provider Identifiers | NPI Number: 1265443386 PECOS PAC ID: 9032183223 Enrollment ID: I20040824000137  | 
| Provider Name | Emo R Bonamino | 
|---|---|
| Provider Type | Practitioner - Podiatry | 
| Provider Identifiers | NPI Number: 1346256047 PECOS PAC ID: 8820023732 Enrollment ID: I20070910000854  | 
| Provider Name | Eric B Bettag | 
|---|---|
| Provider Type | Practitioner - Podiatry | 
| Provider Identifiers | NPI Number: 1639192982 PECOS PAC ID: 8921033838 Enrollment ID: I20120326000701  | 
| Mailing Address | Practice Location Address | 
|---|---|
| St. Charles Foot And Ankle Center Pc 2320 Dean St Ste 104, St Charles, IL 60175-1068 Ph: (630) 584-4200  | St. Charles Foot And Ankle Center Pc 2320 Dean St Ste 104, St Charles, IL 60175-1068 Ph: (630) 584-4200  | 
St. Charles Podiatry Assoc Podiatrist Medicare: Medicare Enrolled Practice Location: 2210 Dean St, Suite C, St Charles, IL 60175 Phone: 630-377-5001 Fax: 630-377-5021  | |
Dr. Ernest V. Isadore, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2210 Dean Street, Suite C, St Charles, IL 60175 Phone: 630-377-5001 Fax: 630-377-5021  | |
Eric Baldric Bettag, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2320 Dean St Ste 104, St Charles, IL 60175 Phone: 630-584-4200 Fax: 630-584-4257  |