Tsakopoulos, Angelo G
Tsakopoulos, Angelo G is an individual health care provider with primary practice located at 17148 Harlem Ave , Tinley Park IL 60477-3331. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Tsakopoulos, Angelo G can be contacted via phone (708) 429-1200.Contact Information
Primary practice address
17148 Harlem Ave
Tinley Park IL 60477-3331
Phone: (708) 429-1200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036-111440 | Illinois |
Profile Details
| NPI number | 1356320774 |
|---|---|
| LBN Legal business name | Tsakopoulos, Angelo G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 13th, 2006 |
| Last updated | Oct 29th, 2018 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356320774 | NPPES |
| Illinois | MEDICAID | 036111440 |
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