institution
Dimitrios Kotsopulos, D.p.m., P.c.
Foot & Ankle Surgery Podiatrist in Palos Heights, Illinois
NPI 1255402749

Dimitrios Kotsopulos, D.p.m., P.c. is a Foot & Ankle Surgery Podiatrist based in Palos Heights, IL and is specialized in Foot & Ankle Surgery. Dimitrios Kotsopulos, D.p.m., P.c. practices in Palos Heights, IL. The NPI Number for Dimitrios Kotsopulos, D.p.m., P.c. is 1255402749 and holds a License No. (Illinois).

The current practice location address for Dimitrios Kotsopulos, D.p.m., P.c. is 12400 S Harlem Ave Ste 201, Palos Heights, IL and can be reached out via phone at 708-923-9630.

Location: 12400 S Harlem Ave Ste 201, Palos Heights, IL, 60463-1476
institution
Provider Profile Details
NPI Number
1255402749
Provider Name
Dimitrios Kotsopulos, D.p.m., P.c.
Credential
Provider Entity Type
Organization
Address
12400 S Harlem Ave Ste 201, Palos Heights, IL, 60463-1476
Phone Number
708-923-9630
Fax Number
Provider Enumeration Date
11/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01637213 01 IL BC/BS OF IL GROUP #
institution
Provider Business Practice Location Address Details
Address
12400 S Harlem Ave Ste 201
City
State
Zip
60463-1476
Phone Number
708-923-9630
Fax Number
person
Provider Business Mailing Address Details
Address
12400 S Harlem Ave Ste 201
City
State
Zip
60463-1476
Phone Number
708-923-9630
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
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Definition
Definition to come...
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