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Individual

DR. MARY CAPELLI-SCHELLPFEFFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
5500 S HOHMAN AVE, STE 1D, HAMMOND, IN 46320-1965
(219) 852-2472
Mailing address
1700 E 56TH ST, #1405, CHICAGO, IL 60637-1970
(773) 960-5802

Taxonomy

Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
01062956A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01062956A
INDIANA PROFESSIONAL
IN
01
26933-020
STATE OF WISCONSIN
WI
01
336-042978
STATE OF ILLINOIS
IL
01
D0061063
STATE OF MARYLAND
MD
Enumeration date
04/12/2007
Last updated
07/08/2007
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