Kotsopulos, Dimitrios

Kotsopulos, Dimitrios is an individual health care provider with primary practice located at 12400 S Harlem Ave Ste 201 , Palos Heights IL 60463-1476. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Kotsopulos, Dimitrios can be contacted via phone (708) 923-9630.

Contact Information

Primary practice address
12400 S Harlem Ave Ste 201 Palos Heights IL 60463-1476
Phone: (708) 923-9630
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 016-004977 Illinois
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 07000916A Indiana
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 016-004977 Illinois
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 07000916A Indiana

Profile Details

NPI number 1437161254
LBN Legal business name Kotsopulos, Dimitrios
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2006
Last updated May 19th, 2020 - about 4 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 1437161254 NPPES
Illinois Other 01632993 IL BC/BS PROVIDER #

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