PATRICIA DEPOLI M.D. NPI 1740224583

NPI Information

Patricia Depoli, M.D. is a plastic and reconstructive surgery surgery in Skokie, IL with 33 years of experience. The provider is a surgeon who specializes in plastic and reconstructive surgery. Patricia Depoli, M.D. NPI is 1740224583. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1991

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 NPI 1740224583 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/15/2006 and was last updated on 2/1/2022.

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:

Other Identifiers

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

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