Individual
SOTIRIOS A VASILOPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5900 S LAKE DR, CUDAHY, WI 53110-3171
(414) 489-4190
(414) 489-4015
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
70814
WI
207RG0100X
Gastroenterology Physician
MD439059
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100088676
—
WI
05
—
1024199370001
—
PA
01
—
2152337
BLUE CROSS/BLUE SHIELD
PA
01
—
PENDING
RAILROAD MEDICARE
PA
Enumeration date
01/26/2006
Last updated
06/11/2025
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