Doctor Name: | DR. CARLOS P CAPATI |
NPI Number: | 1043266018 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 36055057 |
Business Practice Address: | 2200 Fort Jesse Rd Suite 280 Normal, IL - 617616286 |
Business Phone Number: | 3094521788 |
Business Fax Number: | 3098621302 |
Mailing Address: | 2200 Fort Jesse Rd, Suite 280 NORMAL |
State: | IL |
Postal Code: | 617616286 |
Phone Number: | 3094521788 |
Fax Number: | 3098621302 |
NPI Enumeration Date: | 05/25/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 36055057 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |