Individual provider · Type 1 NPI
Alexandra Incandela, DPM
Foot & Ankle Surgery Podiatrist · Rockford, IL
NPI number
1336796143
Active
Practice location
5666 E State St
Rockford, IL 61108-2425
Mailing address
6962 Cambria Cv
Village Of Lakewood, IL 60014-6652
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 135.001068 (IL) |
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 016.006003 (IL) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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Other foot & ankle surgery podiatrist providers in Rockford
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About NPI 1336796143
Alexandra Incandela, DPM's National Provider Identifier is 1336796143, issued on Aug 26, 2019. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Rockford, IL. The record was last updated on Mar 28, 2023.