Individual provider · NPI-1

Rhodessa Capulong, M.D.

Emergency Medicine · Berwyn, IL

NPI number1992720353
StatusActive
Last updated in NPPESDec 16, 2008

Details

NPI
1992720353
Entity type
Individual (NPI-1)
Name
Rhodessa Capulong
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
Jul 13, 2006
Last updated
Dec 16, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency Medicine036-091975ILYes
207P00000X Emergency MedicineME82605FL

Practice location

3249 Oak Park Ave
Berwyn, IL 60402-3429

Phone 170-878-3600

Mailing address

3249 Oak Park Ave
Berwyn, IL 60402-3429

Phone 170-878-3600

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