Individual
DR. GREGORY C NACOPOULOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1000 N ALLEN ST, ROBINSON, IL 62454-1114
(618) 546-2618
(618) 546-2648
Mailing address
1000 N ALLEN ST, ROBINSON, IL 62454-1114
(618) 546-2618
(618) 546-2648
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036102151
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01627719
BLUE SHIELD OF IL
IL
05
—
036102151
—
IL
Enumeration date
09/19/2006
Last updated
07/14/2014
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