Isadore, Ernest V.

Isadore, Ernest V. is an individual health care provider with primary practice located at 2210 Dean Street Suite C, St Charles IL 60175. 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. Isadore, Ernest V. can be contacted via phone (630) 377-5001.

Contact Information

Primary practice address
2210 Dean Street Suite C St Charles IL 60175
Phone: (630) 377-5001
Fax: (630) 377-5021
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 016-002699 Illinois

Profile Details

NPI number 1558379008
LBN Legal business name Isadore, Ernest V.
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Dec 3rd, 2008 - about 16 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 1558379008 NPPES
Illinois Other 363432665 TAX ID STC
Illinois Other 480028367 TAX ID STC
Illinois Other 0004515235 TAX ID STC
Illinois Other 60100844 TAX ID STC

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