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NPI Code Detail

MEDICARE: DR. ROGER KAPOOR MD

MEDICARE:  DR. ROGER  KAPOOR  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207N00000XDermatology Physician036-128053IL
2207N00000XDermatology Physician56029-20WI

General Provider Information

NPI Number : 1154501245
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROGER KAPOOR MD
Provider Business Mailing Address
First Line : 1905 E. HUEBBE PARKWAY
Second Line : BELOIT HEALTH SYSTEM, INC
City : BELOIT
State : WI
Zip : 53511-1842
Country : US
Telephone Number : 608-364-1219
Fax Number : 608-364-1280
Provider Business Practice Location Address
First Line : 5605 E. ROCKTON ROAD
Second Line : NORTHPOINTE
City : ROSCOE
State : IL
Zip : 61073-7601
Country : US
Telephone Number : 815-525-4500
Fax Number : 815-525-4505
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2007
Last Update Date : 10/20/2011

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Directions to “ DR. ROGER KAPOOR MD” Practice Location

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