| Doctor Name: | DR. DAVID ANTHONY CHARNOTA |
| NPI Number: | 1205848975 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.P.M. |
| License Number: | 016003264 |
| Business Practice Address: | 765 Ela Road Suite 100 Lake Zurich, IL - 600472339 |
| Business Phone Number: | 8475409949 |
| Business Fax Number: | 8475409971 |
| Mailing Address: | 765 Ela Road, Suite 100 LAKE ZURICH |
| State: | IL |
| Postal Code: | 600472339 |
| Phone Number: | 8475409949 |
| Fax Number: | 8475409971 |
| NPI Enumeration Date: | 08/12/2006 |
| NPI Last Update Date: | 08/03/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 016003264 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |