Phillip Leon Cacioppo in Elk Grove Village - Specialist

Phillip Leon Cacioppo - NPI 1184759136

Phillip Leon Cacioppo is a Specialist in Elk Grove Village, Illinois. Phillip Leon Cacioppo practices all healthcare services and medical treatments related to Specialist. The NPI Number for Phillip Leon Cacioppo is 1184759136. The last update date is 2007-12-20.

Phillip Leon Cacioppo's current location address is 800 Biesterfield Rd, Elk Grove Village, Illinois. You can contact this provider via phone number 8478060106 and fax number 8478069323. The mailing address for Phillip Leon Cacioppo is 800 Biesterfield Rd, Elk Grove Village, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Phillip Leon Cacioppo
Address 800 Biesterfield Rd, Elk Grove Village, Illinois
Phone Number 8478060106
Fax Number 8478069323
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1184759136
Provider Enumeration Date 2007-02-22
Last Updated Date 2007-12-20

Provider Mailing Address Detail

Address 800 Biesterfield Rd
City Elk Grove Village
State Illinois (IL)
Post Code 600073311
Phone Number 8478060106
Fax Number 8478069323

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
31602106 IL BLUE SHIELD
361047981 IL --
461632 IL MEDICARE

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FAQs about Phillip Leon Cacioppo

What is the Phillip Leon Cacioppo's 1184759136?

The Phillip Leon Cacioppo's NPI (National Provider Identifier) Number is 1184759136. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Phillip Leon Cacioppo is located?

The Phillip Leon Cacioppo is situated at the following address: 800 Biesterfield Rd, Elk Grove Village, IL, 600073311.

What is Phillip Leon Cacioppo's specialized field of practice, and what is the corresponding taxonomy classification code?

The Phillip Leon Cacioppo's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1184759136 to Phillip Leon Cacioppo?

The Centers for Medicare & Medicaid Services assigned the 1184759136 to Phillip Leon Cacioppo on 2007-02-22.

As of what date were the details related to Phillip Leon Cacioppo most recently updated or revised?

The information pertaining to Phillip Leon Cacioppo, including its address, specialty, and other relevant details, was last updated or revised on 2007-12-20.

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