# ASKLEPIOS MEDICAL GROUP LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790777837
- **Authorized official:** SOTERIOS G POLYCHRONOPOULOS MD (OWNER OF MEDICAL GROUP PRACTICE)
- **Authorized official phone:** (773) 445-2422

## Contact information

- **Practice address:** 11638 S WESTERN AVE, CHICAGO, IL 60643-4730
- **Practice address phone:** (773) 445-2422
- **Practice address fax:** (773) 445-5182
- **Mailing address:** 11638 S WESTERN AVE, CHICAGO, IL 60643-4730
- **Mailing address phone:** (773) 445-2422
- **Mailing address fax:** (773) 445-5182

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/16/2005
- **Last updated:** 07/09/2010