Individual provider · Type 1 NPI
Phillip Leon Cacioppo, MD
Specialist · Elk Grove Village, IL
NPI number
1184759136
Active
Practice location
800 Biesterfield Rd, Wimmer Bldg. Suite 202
Elk Grove Village, IL 60007-3311
Fax (847) 806-9323
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
Specialist: 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.
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About NPI 1184759136
Phillip Leon Cacioppo, MD's National Provider Identifier is 1184759136, issued on Feb 22, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Elk Grove Village, IL. The record was last updated on Dec 20, 2007.