Individual
DR. GEOFFREY O CAPLEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19624 GOVERNORS HWY, SUITE 9, FLOSSMOOR, IL 60422-2077
(708) 647-9800
(708) 647-9814
Mailing address
PO BOX 699, MATTESON, IL 60443-0699
(708) 647-9800
(708) 647-9814
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036106422
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036106422
—
IL
01
—
20-3954071
TAX ID #
IL
Enumeration date
07/15/2005
Last updated
05/09/2008
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