Individual
PATRICIA CIPOLLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1969 W OGDEN AVE, CHICAGO, IL 60612-3765
(312) 864-6000
Mailing address
1833 N WOLCOTT AVE APT BASEMENT, CHICAGO, IL 60622-1592
(908) 421-2119
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/07/2018
Last updated
08/11/2022
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