Individual
GEORGE ANESTIS FOTOPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
17124 HARLEM AVE, TINLEY PARK, IL 60477-3504
(331) 481-5048
Mailing address
17124 HARLEM AVE, TINLEY PARK, IL 60477-3504
(331) 481-5048
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71016681A
IN
363LF0000X
Family Nurse Practitioner
Primary
209.032321
IL
Other
Enumeration date
05/14/2025
Last updated
04/09/2026
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