| Doctor Name: | DR. DEEPAK KAPOOR |
| NPI Number: | 1457308926 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 36050298 |
| Business Practice Address: | 9700 Kenton Ave Suite K-205 Skokie, IL - 600761259 |
| Business Phone Number: | 8476738005 |
| Business Fax Number: | 8476738719 |
| Mailing Address: | 1107 Edmer Ave, OAK PARK |
| State: | IL |
| Postal Code: | 603021131 |
| Phone Number: | 7083864818 |
| Fax Number: | 3128648014 |
| NPI Enumeration Date: | 05/28/2006 |
| NPI Last Update Date: | 12/23/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2084A0401X |
| License Number: | 36050298 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Psychiatry & Neurology |
| Taxonomy Specialization: | Addiction Medicine |
| Taxonomy Definition: | A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |