Organization · NPI-2
Dr Mark E Pappadopoli M D P C
Family Medicine · Wood Dale, IL
NPI number1235455668
StatusActive
Last updated in NPPESSep 21, 2012
Details
- NPI
- 1235455668
- Entity type
- Organization (NPI-2)
- Legal business name
- Dr Mark E Pappadopoli M D P C
- Organization subpart
- No
- Enumeration date
- Apr 9, 2010
- Last updated
- Sep 21, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
236 E Irving Park RdSuite C
Wood Dale, IL 60191-2099
Phone 630-860-5160 · Fax 630-860-5262
Mailing address
236 E Irving Park RdSuite C
Wood Dale, IL 60191-2099
Phone 630-860-5160 · Fax 630-860-5262
Authorized official
Mark E. Pappadopoli
President
6308605160
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