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George Jason Antonopoulos, APRN
Family Nurse Practitioner in Willowbrook, Illinois
NPI 1326660069

George Jason Antonopoulos is a Family Nurse Practitioner based in Orland Hills, IL and is specialized in Family. George Jason Antonopoulos practices in Willowbrook, IL and has the professional credentials of APRN. The NPI Number for George Jason Antonopoulos is 1326660069 and holds a License No. 209.021305 (Illinois).

The current practice location address for George Jason Antonopoulos is 40 75Th St, Willowbrook, IL and can be reached out via phone at 561-734-9003.

Location: 40 75Th St, Willowbrook, IL, 60487-4694
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326660069
Provider Name
George Jason Antonopoulos
Credential
APRN
Provider Entity Type
Individual
Gender
Male
Address
40 75Th St, Willowbrook, IL, 60487-4694
Phone Number
561-734-9003
Fax Number
Provider Enumeration Date
05/16/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
209.021305 05 IL
institution
Provider Business Practice Location Address Details
Address
40 75Th St
City
Willowbrook
State
Illinois
Zip
60527-2325
Phone Number
561-734-9003
Fax Number
person
Provider Business Mailing Address Details
Address
40 75Th St
City
Willowbrook
State
Illinois
Zip
60527-2325
Phone Number
561-734-9003
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209.021305 (Illinois)
Definition
Definition to come...
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