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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. TINA RENEE ENTWISTLE, D.P.M.

Active

DR. TINA RENEE ENTWISTLE, D.P.M. is a Foot & Ankle Surgery Podiatrist healthcare provider located in ROCKFORD, Illinois. NPI 1598985939 is currently active in the NPPES registry. Verify at CMS.

Foot & Ankle Surgery Podiatrist · ROCKFORD, IL

Registration Details

NPI Number
1598985939
Provider Type
Individual
Gender
Female
NPI Issued
Apr 26, 2007 (19.11888448843 yrs)
Last Updated
Jan 11, 2011
License
016-005194 (IL)

Practice Information

Address
6778 MILL RD
SUITE 100
ROCKFORD, IL, 611082502
Browse IL providers · Browse ZIP 61108
Phone
8152270041
Primary Specialty
Foot & Ankle Surgery Podiatrist
213ES0103X

Other Foot & Ankle Surgery Podiatrist Providers in ROCKFORD, IL

Name Credential NPI
DR. DINESH C PANDYA D.P.M. 1952306045
DR. FLAVIO CORDANO DPM 1427059237
DR. JOSEPH THOMAS FANARA DPM 1578658506
DR. DOUGLAS JOSEPH PACACCIO DPM 1013005867
DR. HEATH A. HOFFMAN D.P.M. 1528231354
DR. AMIE LEHMAN HARACZ D.P.M. 1760776884
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.