Provider Demographics
NPI:1073520714
Name:STERLING, HOWARD IRA (DPM)
Entity Type:Individual
Prefix:
First Name:HOWARD
Middle Name:IRA
Last Name:STERLING
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1519 CEDARWOOD LN
Mailing Address - Street 2:
Mailing Address - City:WHEELING
Mailing Address - State:IL
Mailing Address - Zip Code:60090-5315
Mailing Address - Country:US
Mailing Address - Phone:847-398-0464
Mailing Address - Fax:
Practice Address - Street 1:1519 CEDARWOOD LN
Practice Address - Street 2:
Practice Address - City:WHEELING
Practice Address - State:IL
Practice Address - Zip Code:60090-5315
Practice Address - Country:US
Practice Address - Phone:847-398-0464
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-02
Last Update Date:2008-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL016002721213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL016002721Medicaid
791480558OtherRAILROAD MEDICARE
IL60000850OtherBLUE CROSS BLUE SHIELD
791480558OtherRAILROAD MEDICARE
T35524Medicare UPIN