Fotopoulos, Alexandria
Fotopoulos, Alexandria is an individual health care provider with primary practice located at 7435 W Manitoba Dr , Palos Heights IL 60463-2017. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Fotopoulos, Alexandria can be contacted via phone (708) 912-6252.Contact Information
Primary practice address
7435 W Manitoba Dr
Palos Heights IL 60463-2017
Phone: (708) 912-6252
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / School | 103TS0200X | 1835966 | Illinois |
Profile Details
NPI number | 1821560681 |
---|---|
LBN Legal business name | Fotopoulos, Alexandria |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 18th, 2018 |
Last updated | Dec 18th, 2018 - about 7 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 | 1821560681 | NPPES |
Illinois | Other | 103TS0200X | 62 |
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