Healthcare Provider Details

I. General information

NPI: 1760701007
Provider Name (Legal Business Name): RHONDA R VERZAL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RHONDA R DEPAUL MD

II. Dates (important events)

Enumeration Date: 05/26/2010
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3707 DOTY RD STE GANDH
WOODSTOCK IL
60098-7530
US

IV. Provider business mailing address

3707 DOTY RD STE GANDH
WOODSTOCK IL
60098-7530
US

V. Phone/Fax

Practice location:
  • Phone: 815-206-2800
  • Fax: 815-338-9488
Mailing address:
  • Phone: 815-206-2800
  • Fax: 815-338-9488

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number036-146484
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME111025
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: