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Organization
PATRICIA DEPOLI, M.D. LTD
Active
Organization
PATRICIA DEPOLI, M.D. LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIA RAPATAS (OFFICE MANAGER)
(847) 983-8554
Entity
Organization
Contact information
Practice address
4709 GOLF RD STE 1250, SKOKIE, IL 60076-1238
(847) 983-8554
(847) 983-8254
Mailing address
4709 GOLF RD STE 1250, SKOKIE, IL 60076-1238
(847) 983-8554
(847) 983-8254
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036094663
—
IL
01
—
1623290
BLUE CROSS BLUE SHIELD
IL
Enumeration date
09/21/2006
Last updated
07/21/2022
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