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Individual

KATHLEEN M. SCARPULLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3115 N HARLEM AVE STE 300, CHICAGO, IL 60634-4683
(773) 283-2454
(773) 283-2474
Mailing address
3115 N HARLEM AVE STE 300, CHICAGO, IL 60634-4683
(773) 283-2454
(773) 283-2474

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036-075323
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
036-075323
STATE LICENSE
IL
Enumeration date
09/25/2006
Last updated
04/03/2023
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