PATRICIA DEPOLI M.D. LTD NPI 1316046808

NPI Information

NPI: 1316046808
Provider Name: PATRICIA DEPOLI, M.D. LTD
Classification: Surgery - 2086S0122X
Entity Type: Organization

Specialization: Plastic and Reconstructive Surgery

Address:
4709 GOLF RD STE 1250
SKOKIE, IL
ZIP 60076
Phone: (847) 983-8554
Get Directions

PATRICIA DEPOLI, M.D. LTD is a plastic and reconstructive surgery surgery in Skokie, IL. The provider is a surgeon who specializes in plastic and reconstructive surgery. PATRICIA DEPOLI, M.D. LTD NPI is 1316046808. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4709 GOLF RD STE 1250
SKOKIE, IL
ZIP 60076-238
Phone: (847) 983-8554
Fax: (847) 983-8254

The provider's authorized official is Antonia Rapatas .
The authorized official title is Office Manager and has the following contact phone number (847) 983-8554.

The enumeration date for this NPI number is 9/21/2006 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0122X	Surgery	Plastic and Reconstructive Surgery		ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	036094663	MEDICAID	ILLINOIS
2	1623290	OTHER	ILLINOIS	BLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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