Individual
DEAN PAPADOPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1294 S ROUTE 12, FOX LAKE, IL 60020-1950
(847) 973-9440
(847) 973-9442
Mailing address
GREENFIELD REHAB AGENCY, 3360 GATEWAY RD. SUITE 100, BROOKFIELD, WI 53045
(262) 923-7101
(262) 657-7190
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070-014551
IL
225100000X
Physical Therapist
Primary
13522
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619908
BCBS IL GROUP
IL
01
—
567700
MEDICARE GOUP NUMBER
IL
01
—
568080
MEDICARE GROUP NUMBER
IL
01
—
568150
MEDICARE GROUP NUMBER
IL
01
—
IL6237020
MEDICARE
IL
01
—
IL6238020
MEDICARE
IL
01
—
IL6697018
MEDICARE
IL
Enumeration date
07/19/2006
Last updated
07/24/2023
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