Individual
DR. AUDREY GEANNOPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1020 E OGDEN AVE, 115, NAPERVILLE, IL 60563-8609
(630) 717-8707
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036081052
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036081052
—
IL
Enumeration date
07/15/2008
Last updated
08/29/2023
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