Individual
CHRISOULA GEORGACOPOULOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4332 N ELSTON AVE, CHICAGO, IL 60641-2144
(773) 754-3500
Mailing address
4332 N ELSTON AVE, CHICAGO, IL 60641-2144
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019027988
IL
Other
Enumeration date
09/08/2010
Last updated
09/08/2010
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