| 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 |