Individual
ANTHONY CIPOLLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
224 BROWN ST STE A, WAUCONDA, IL 60084-1747
(847) 795-3350
(847) 487-2841
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1324
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-140259
IL
Other
Enumeration date
07/19/2013
Last updated
05/25/2023
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