Individual
ANDRIY KHLOPAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
3412 W. FULLERTON AVE, CHICAGO, IL 60647-2416
(773) 235-8000
(773) 486-9320
Mailing address
3412 W. FULLERTON .AVE., CHICAGO, IL 60647-2416
(773) 235-8000
(773) 486-9320
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
277.000785
IL
363L00000X
Nurse Practitioner
99083662A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041420314
—
IL
Enumeration date
02/01/2018
Last updated
04/06/2022
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