Individual
SOTERIOS G POLYCHRONOPOULOS
Active
Individual
SOTERIOS G POLYCHRONOPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
036051757
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036051757
—
IL
01
—
110019213
RR
IL
01
—
31602250
BC-BS
IL
Enumeration date
08/16/2005
Last updated
11/08/2016
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