Alexopoulos, Stavros Orestis

Alexopoulos, Stavros Orestis is an sole proprietor health care provider with primary practice located at 2740 W Foster Ave Ste 107 , Chicago IL 60625-3543. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Alexopoulos, Stavros Orestis can be contacted via phone (773) 561-8100.

Contact Information

Primary practice address
2740 W Foster Ave Ste 107 Chicago IL 60625-3543
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 016004298 Illinois

Profile Details

NPI number 1710102017
LBN Legal business name Alexopoulos, Stavros Orestis
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 13th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710102017 NPPES
Illinois Other 60010812 BLUE SHIELD OF ILLINOIS

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