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TERESA CAPPELLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2160 S 1ST AVE, (MAGUIRE CENTER, RM. 1700), MAYWOOD, IL 60153-3328
(708) 216-3280
(708) 216-5858
Mailing address
2160 S 1ST AVE, (MAGUIRE CENTER, RM. 1700), MAYWOOD, IL 60153-3328
(708) 216-3280
(708) 216-5858

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036122711
IL
207X00000X
Orthopaedic Surgery Physician
46684
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
961437100
MN
Enumeration date
07/22/2005
Last updated
02/18/2020
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