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NPI Code Detail

MEDICARE: ROSALIA PORCELLI DO

MEDICARE:   ROSALIA  PORCELLI  DO
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
1208000000XPediatrics Physician36097646IL
2207R00000XInternal Medicine Physician36097646IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1477529949
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSALIA PORCELLI DO
Provider Business Mailing Address
First Line : 9977 WOODS DR STE 100
Second Line :
City : SKOKIE
State : IL
Zip : 60077-1057
Country : US
Telephone Number : 224-364-2273
Fax Number : 847-663-8290
Provider Business Practice Location Address
First Line : 9977 WOODS DR STE 100
Second Line :
City : SKOKIE
State : IL
Zip : 60077-1057
Country : US
Telephone Number : 224-364-2273
Fax Number : 847-663-8290
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2006
Last Update Date : 05/19/2022

Similar Medicare Providers

1831905124 — TYLER THAI DINH LE PA-C
Practice Location Address:
9977 WOODS DR
SKOKIE, IL
60077-1057
Practice Phone: 224-364-2273
Practice Fax:
1801888078 — CATHY TSCHANNEN MD
Practice Location Address:
9977 WOODS DR STE 100
SKOKIE, IL
60077-1057
Practice Phone: 224-364-2273
Practice Fax: 847-663-8290
1871588111 — NICOLE M. SCHNEIDERMAN M.D.
Practice Location Address:
9977 WOODS DR STE 100
SKOKIE, IL
60077-1057
Practice Phone: 847-982-6715
Practice Fax:
1942283825 — SEAN P. DAVID M.D.
Practice Location Address:
9977 WOODS DR FL 1
SKOKIE, IL
60077-1057
Practice Phone: 224-364-2273
Practice Fax: 847-663-8290
1003891987 — DR. MICHAEL PERRY ROSENBAUM MD
Practice Location Address:
9977 WOODS DR
SKOKIE, IL
60077-1057
Practice Phone: 847-663-8163
Practice Fax: 847-663-1024
1518916337 — KERRY SWENSON M.D., PHD.
Practice Location Address:
9977 WOODS DR
SKOKIE, IL
60077-1057
Practice Phone: 847-663-8370
Practice Fax: 847-663-1023

Directions to “ ROSALIA PORCELLI DO” Practice Location

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