Angelopoulos, Nicholas A

Angelopoulos, Nicholas A is an sole proprietor health care provider with primary practice located at 6850 Centennial Dr , Tinley Park IL 60477-1653. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Angelopoulos, Nicholas A can be contacted via phone (708) 429-3466.

Contact Information

Primary practice address
6850 Centennial Dr Tinley Park IL 60477-1653
Phone: (708) 429-3466
Fax: (708) 429-3422
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 03689214 Illinois

Profile Details

NPI number 1205940855
LBN Legal business name Angelopoulos, Nicholas A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 19th, 2006
Last updated Oct 10th, 2019 - about 6 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 1205940855 NPPES
Illinois MEDICAID 036089214

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