Individual
DR. ANTONIOS PAPADOPOULOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 RICHMOND AVE E STE 3, MATTOON, IL 61938-4652
(217) 234-7000
Mailing address
1005 HEALTH CENTER DR STE 201, MATTOON, IL 61938-4653
(217) 342-3400
(217) 258-2216
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036076692
IL
207RN0300X
Nephrology Physician
Primary
036076692
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036076692
—
IL
Enumeration date
08/30/2006
Last updated
12/31/2020
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