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VICTORIA LISA CODISPOTI MD NPI 1710925367


NPI Information

NPI: 1710925367
Provider Name: VICTORIA LISA CODISPOTI, MD
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Individual

Specialization: Psychiatry

Address:
3111 WILLIAMSON COUNTY PKWY
MARION, IL
ZIP 62959
Phone: (618) 997-3645
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Victoria Lisa Codispoti, MD is a psychiatry psychiatry neurology in Marion, IL. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. Victoria Lisa Codispoti, MD NPI is 1710925367. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3111 WILLIAMSON COUNTY PKWY
MARION, IL
ZIP 62959-235
Phone: (618) 997-3645
Fax: (618) 998-1328

The enumeration date for this NPI number is 6/4/2006 and was last updated on 7/9/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0800XPsychiatry & NeurologyPsychiatryILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1K08396MEDICARE ID-TYPE UNSPECIFIEDILLINOISMEMBER NUMBER
2E57011MEDICARE UPINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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