Organization
KATHLEEN M SCARPULLA, MD, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN M SCARPULLA M.D. (PRESIDENT)
(773) 283-2454
Entity
Organization
Contact information
Practice address
5600 W ADDISON ST, SUITE 403, CHICAGO, IL 60634-4401
(773) 283-2454
(773) 283-2474
Mailing address
5600 W ADDISON ST, SUITE 403, CHICAGO, IL 60634-4401
(773) 283-2454
(773) 283-2474
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036075323
IL
Other
Enumeration date
02/04/2010
Last updated
02/04/2010
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