Individual
ELIZABETH L CAPASSO-GULVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4600 MEMORIAL DR STE W3, BELLEVILLE, IL 62226-5359
(618) 222-8900
(618) 416-4449
Mailing address
311 WEST LINCOLN, SUITE 300, BELLEVILLE, IL 62220-1986
(618) 234-2566
(618) 234-5650
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085000905
IL
Other
Enumeration date
04/25/2008
Last updated
07/21/2022
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