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VASSILIOS A. DIMITROPOULOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10282 W 400 N, MICHIGAN CITY, IN 46360-9470
(773) 351-2862
(773) 358-2767
Mailing address
745 S PARK AVE, HINSDALE, IL 60521-4645
(630) 920-1900
(630) 920-1901

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
01084831A
IN
207N00000X
Dermatology Physician
036113849
IL
207N00000X
Dermatology Physician
Primary
4301079801
MI
207ND0101X
MOHS-Micrographic Surgery Physician
036113849
IL
207NS0135X
Procedural Dermatology Physician
036113849
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1194838045
MI
01
27-0422873
ST JOSEPH DERMATOLOGY TAX ID
MI
01
27-0907956
UNIVERSITY DERMATOLOGY TAX ID
IL
01
813288715
UNIVERSITY DERMATOLOGY AND VEIN CLINIC
IL
01
813301692
ST JOSEPH DERMATOLOGY AND VEIN CLINIC
MI
Enumeration date
08/16/2006
Last updated
10/23/2020
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