Individual
PATRICIA DEPOLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
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
036094663
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036094663
—
ID
01
—
1623290
BLUE CROSS BLUE SHIELD
IL
Enumeration date
06/15/2006
Last updated
12/16/2025
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