IndividualActive
Alexandra Incandela, DPM
NPI 1336796143 · Foot & Ankle Surgery Podiatrist · Rockford, IL
Provider details
- NPI number
- 1336796143
- Entity type
- Individual
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Female
- Sole proprietor
- Yes
- License
- 135.001068 (IL)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Student, Health Care
Practice location
5666 E State St
Rockford, IL 61108-2425
Phone: (815) 226-2000
Approximate (ZIP-level) locationGet directions
Mailing address
6962 Cambria Cv
Village of Lakewood, IL 60014-6652
Registry dates
- Enumerated
- 2019-08-26
- Last updated
- 2023-03-28
- Certified
- 2023-03-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.