Individual
MARY ANGELOPOULOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036-088382
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036088382
—
IL
01
—
1630244
BCBS
IL
Enumeration date
08/31/2006
Last updated
12/23/2021
Update your record
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