Cortese, Carl John
Cortese, Carl John is an sole proprietor health care provider with primary practice located at 1607 Visa Dr Ste 5B , Normal IL 61761-6160. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Cortese, Carl John can be contacted via phone (309) 452-3000.Contact Information
Primary practice address
1607 Visa Dr Ste 5B
Normal IL 61761-6160
Phone: (309) 452-3000
Fax: (309) 452-3668
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 016-002598 | Illinois |
Profile Details
| NPI number | 1992716914 |
|---|---|
| LBN Legal business name | Cortese, Carl John |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 11th, 2006 |
| Last updated | Jan 2nd, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992716914 | NPPES |
| Illinois | MEDICAID | 016002598 |
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