Angelopoulos, Mary
Angelopoulos, Mary is an sole proprietor health care provider with primary practice located at 550 W Frontage Rd Ste 2745 , Northfield IL 60093-1260. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Angelopoulos, Mary can be contacted via phone (847) 716-1302.Contact Information
Primary practice address
550 W Frontage Rd Ste 2745
Northfield IL 60093-1260
Phone: (847) 716-1302
Fax: (847) 716-1312
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 036-088382 | Illinois |
Profile Details
| NPI number | 1417069022 |
|---|---|
| LBN Legal business name | Angelopoulos, Mary |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Dec 23rd, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417069022 | NPPES |
| Illinois | MEDICAID | 036088382 | |
| Illinois | Other | 1630244 |
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