Depoli, Patricia

Depoli, Patricia is an sole proprietor health care provider with primary practice located at 4709 Golf Rd Ste 1250 , Skokie IL 60076-1238. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as her primary health care specialty. Depoli, Patricia can be contacted via phone (847) 983-8554.

Contact Information

Primary practice address
4709 Golf Rd Ste 1250 Skokie IL 60076-1238
Phone: (847) 983-8554
Fax: (847) 983-8254
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 036094663 Illinois

Profile Details

NPI number 1740224583
LBN Legal business name Depoli, Patricia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2006
Last updated Feb 1st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740224583 NPPES
Idaho MEDICAID 036094663
Idaho Other 1623290

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