Individual
JENNIFER GEORGOPOULOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4215 N MOODY AVE, CHICAGO, IL 60634-1534
(773) 736-1261
Mailing address
4215 N MOODY AVE, CHICAGO, IL 60634-1534
(773) 736-1261
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IL
Other
Enumeration date
06/03/2015
Last updated
06/03/2015
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