Cortese, Craig Thomas

Cortese, Craig Thomas is an individual 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, Craig Thomas 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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 016-005065 Illinois

Profile Details

NPI number 1124030192
LBN Legal business name Cortese, Craig Thomas
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Apr 8th, 2011 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124030192 NPPES
Illinois MEDICAID 016005065

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