Individual
DR. AGOP TEPELI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17850 SOUTH KEDZIE AVENUE, SUITE 3300, HAZEL CREST, IL 60429
(708) 799-6055
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
(847) 390-4757
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
036062946
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036062946
—
IL
01
—
110060487
RAILROAD MEDICARE PROVIDER #
—
Enumeration date
12/16/2005
Last updated
09/12/2022
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