Erica Cacioppo MD

NPI 1265729107 - Emergency Medicine - 207P00000X

NPI Details
NPI 1265729107
Gender Female
Enumeration Date 06/29/2011
Last Updated 06/27/2014
Entity Type Individual
Active Over 5 years ago
Practice Location
701 N 1ST ST
SPRINGFIELD IL, 62702-3757, US
Phone (217) 788-3156
Fax (217) 788-6459
Business Location
1309 S WALNUT ST
SPRINGFIELD IL, 62704-3664, US
Phone (630) 202-2766
Fax (217) 788-6459
Toxanomy
Taxonomy Code 207P00000X
License State Illinois
License Number 036.133886
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According to our database, Erica Cacioppo MD NPI is 1265729107, taxonomy code is 207P00000X and license number is 036.133886, license state is located at Illinois. Erica Cacioppo MD physically located at 701 N 1st St, Springfield IL, 62702-3757. NPI Number Erica Cacioppo MD has the Individual type.

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1265729107 NPI number is provided on an as is basis without warranty of any kind. 1265729107 is maintained by the National Plan & Provider Enumeration System. The contents of Erica Cacioppo MD are for informational purposes only.