Elizabeth R Vanopstal, M.D.
Internal Medicine in Chicago, IL. Individual provider (NPI-1).
NPI number1508021486
StatusActive
Last updated in NPPESMar 2, 2010
Details
- NPI
- 1508021486
- Entity type
- Individual (NPI-1)
- Name
- Elizabeth R Vanopstal
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 21, 2008
- Last updated
- Mar 2, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 125655347 | IL | Yes |
| 208000000X | Pediatrics | 125655347 | IL |
Practice location
5841 S Maryland AveChicago, IL 60637-1447
Phone 773-702-1000
Mailing address
5841 S Maryland AveChicago, IL 60637-1447
Phone 773-702-1000
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