=====================================================
General NPI Number Information
=====================================================
NPI Number | 1518077676
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ROSEMARY VOLPE DPM
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/30/2006
-----------------------------------------------------
Last Update Date | 09/26/2012
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7709 W LAWRENCE AVE
-----------------------------------------------------
City | NORRIDGE
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60706-3303
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 708-452-2700
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2917 N 73RD CT
-----------------------------------------------------
City | ELMWOOD PARK
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60707
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 708-452-5248
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 213E00000X
-----------------------------------------------------
Taxonomy Name | Podiatrist
-----------------------------------------------------
License Number | 016003966
-----------------------------------------------------
License Number State | IL
-----------------------------------------------------