Individual
MISS ANGELA ASIMAKOPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(866) 600-2273
Mailing address
7624 BLACKBERRY LN, WILLOWBROOK, IL 60527-2331
(630) 386-5664
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.421236
IL
363LA2100X
Acute Care Nurse Practitioner
Primary
209019666
IL
Other
Enumeration date
06/24/2019
Last updated
08/24/2019
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