Individual
JAMES A DIONISOPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1 KISH HOSPITAL DRIVE, DEKALB, IL 60115-4939
(815) 756-1521
(815) 748-8395
Mailing address
1 KISH HOSPITAL DRIVE, DEKALB, IL 60115-4939
(815) 756-1521
(815) 748-8395
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
041-144402
IL
207LP2900X
Pain Medicine (Anesthesiology) Physician
209-000856
IL
367500000X
Certified Registered Nurse Anesthetist
041.144402
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209.000856
IL
Other
Enumeration date
08/10/2005
Last updated
06/11/2010
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