Individual
DR. DEEPAK KAPOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9700 KENTON AVE, SUITE K-205, SKOKIE, IL 60076-1259
(847) 673-8005
(847) 673-8719
Mailing address
1107 EDMER AVE, OAK PARK, IL 60302-1131
(708) 386-4818
(312) 864-8014
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
36050298
IL
2084P0800X
Psychiatry Physician
Primary
36050298
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36050298
—
IL
Enumeration date
05/28/2006
Last updated
12/23/2013
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