NPI 1336796143

Alexandra Incandela, DPM

Practitioner Foot & Ankle Surgery Podiatrist Rockford, IL

Practice location

Address: 5666 E State St, Rockford, IL 61108-2425
Phone: (815) 226-2000
Mailing address: 6962 Cambria Cv, Village of Lakewood, IL 60014-6652

Registered specialties (2)

Foot & Ankle Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence 016.006003 (IL)

Other Podiatrist providers in Illinois →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X Licence 135.001068 (IL)

Other Student in an Organized Health Care Education/Training Program providers in Illinois →

Registry record

NPI: 1336796143
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Aug 2019
Record last updated: 28 Mar 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.