# KATHLEEN M SCARPULLA, MD, SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477885242
- **Authorized official:** KATHLEEN M SCARPULLA M.D. (PRESIDENT)
- **Authorized official phone:** (773) 283-2454

## Contact information

- **Practice address:** 5600 W ADDISON ST, SUITE 403, CHICAGO, IL 60634-4401
- **Practice address phone:** (773) 283-2454
- **Practice address fax:** (773) 283-2474
- **Mailing address:** 5600 W ADDISON ST, SUITE 403, CHICAGO, IL 60634-4401
- **Mailing address phone:** (773) 283-2454
- **Mailing address fax:** (773) 283-2474

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 036075323 | IL | Yes |

## Other

- **Enumeration date:** 02/04/2010
- **Last updated:** 02/04/2010