Individual
DR. DEEPA NONESUPPLIED POPURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 N WESTMORELAND RD, LAKE FOREST, IL 60045-1658
(847) 234-5600
(847) 535-7847
Mailing address
1000 N WESTMORELAND RD, LAKE FOREST, IL 60045-1658
(847) 234-5600
(847) 535-7847
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036124176
IL
2085R0202X
Diagnostic Radiology Physician
125052253
IL
Other
Enumeration date
06/14/2007
Last updated
08/07/2020
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