Individual
RHODESSA CAPULONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3249 OAK PARK AVE, BERWYN, IL 60402-3429
(170) 878-3600
Mailing address
3249 OAK PARK AVE, BERWYN, IL 60402-3429
(170) 878-3600
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036-091975
IL
207P00000X
Emergency Medicine Physician
ME82605
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036091975
—
IL
Enumeration date
07/13/2006
Last updated
12/16/2008
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