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

DR. JOANNE MARIE ILUSTRE, DO

Active

Cardiovascular Disease · RIDLEY PARK, PA

Registration Details

NPI Number
1750545661
Provider Type
Individual
Gender
Female
NPI Issued
Jul 10, 2008 (17.8327723825 yrs)
Last Updated
Jan 6, 2021
Licenses
C20011444 (DE)
OS015002 (PA)
OS015002 (PA)

Practice Information

Address
1 BARTOL AVE STE 10
RIDLEY PARK, PA, 190782214
Browse PA providers · Browse ZIP 19078
Phone
6105210150
Fax
6105216493
Primary Specialty
Cardiovascular Disease
207RC0000X
Additional Specialty
Cardiovascular Disease

Other Cardiovascular Disease Providers in RIDLEY PARK, PA

Name Credential NPI
HOWARD T GITTER MD 1023010444
SAMUEL R RUBY MD 1184626517
AYMEN ALREZ MD 1659460350
ROBERT R SCHERR III D.O. 1386025559
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.