Provider Demographics
NPI:1336910355
Name:STROLE, ISAAC (DC)
Entity Type:Individual
Prefix:DR
First Name:ISAAC
Middle Name:
Last Name:STROLE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 W UNION ST APT 12
Mailing Address - Street 2:
Mailing Address - City:EDWARDSVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62025-1401
Mailing Address - Country:US
Mailing Address - Phone:618-792-5158
Mailing Address - Fax:
Practice Address - Street 1:1210 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:IL
Practice Address - Zip Code:62249-1925
Practice Address - Country:US
Practice Address - Phone:618-654-4520
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-09
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038.014112111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor