Active NPI
Ernest V Isadore DPM PC
- Podiatrist
- Aurora, IL
National Provider Identifier
1336242148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 016002699
- Legal business name
- ERNEST V ISADORE DPM PC
- Practice address
- 1414 W Illinois Avenue
Aurora, IL 60506-1920 - Phone
- (630) 895-1450
- Fax
- (630) 859-1466
- NPI assigned
- Sep 7, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ernest V. Isadore, DPM
- Title
- Owner
- Phone
- (630) 859-1450
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 016002699 | IL | Primary |
Addresses
Primary practice location
1414 W Illinois Avenue
Aurora, IL 60506-1920
Mailing address
1414 W Illinois Avenue
Aurora, IL 60506-1920
Phone (630) 895-1450
Other names 1
- Ernest V Isadore DPM
National Provider Directory
National Provider DirectoryLocations
1414 W Illinois Ave
Aurora, IL 60506
Phone (630) 301-7366
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529539200000",
"number": "1336242148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1414 W ILLINOIS AVENUE",
"city": "AURORA",
"state": "IL",
"postal_code": "605061920",
"telephone_number": "630-895-1450",
"fax_number": "630-859-1466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1414 W ILLINOIS AVENUE",
"city": "AURORA",
"state": "IL",
"postal_code": "605061920",
"telephone_number": "630-895-1450",
"fax_number": "630-859-1466"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ERNEST V ISADORE DPM PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-07",
"last_updated": "2018-06-21",
"status": "A",
"authorized_official_last_name": "ISADORE",
"authorized_official_first_name": "ERNEST",
"authorized_official_middle_name": "V.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "630-859-1450",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "IL",
"license": "016002699",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Ernest V Isadore DPM",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Aurora, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.