Organization Active NPI

Ernest V Isadore DPM PC

  • Podiatrist
  • Aurora, IL
National Provider Identifier
1336242148
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016002699 Issued in IL
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

Updated by the provider on Jun 21, 2018

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)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.