Patricia Depoli, M.D. LTD

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

Legal business name

PATRICIA DEPOLI, M.D. LTD

Practice address

4709 Golf Rd Ste 1250
Skokie, IL 60076-1238

Phone

(847) 983-8554

Fax

(847) 983-8254

NPI assigned

Sep 21, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Antonia Rapatas

Title

Office Manager

Phone

(847) 983-8554

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patricia Depoli, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Skokie, IL
  • NPI 1740224583
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1316046808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4709 GOLF RD STE 1250",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761238",
            "telephone_number": "847-983-8554",
            "fax_number": "847-983-8254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4709 GOLF RD STE 1250",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761238",
            "telephone_number": "847-983-8554",
            "fax_number": "847-983-8254"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4711 Golf Rd",
            "address_2": "SUITE 900",
            "address_purpose": "LOCATION",
            "city": "Skokie",
            "state": "IL",
            "postal_code": "600761224",
            "country_code": "US",
            "telephone_number": "847-983-8554",
            "fax_number": "847-983-8254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PATRICIA DEPOLI, M.D. LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2022-07-21",
        "certification_date": "2020-05-07",
        "status": "A",
        "authorized_official_last_name": "RAPATAS",
        "authorized_official_first_name": "ANTONIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "847-983-8554"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1623290",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036094663",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sonal B. Patel, APN-CNP
• Tejal Patel
• Michael C Paterakos, M.D.
• Pathology Consultants of the North Shore, S.C.
• Pathway Counseling
• Eric H Patten, PA-C
• Paul Schattauer, MDSC Inc
• Joya Paul, MD
• Katlynn Paul, PA-C
• Erik B. Pauls, PA-C

• Plastic and Reconstructive Surgery Physician in Skokie, IL
• Providers in Skokie, IL by specialty
• Plastic and Reconstructive Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.