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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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