Individual
BOZENA GRAZYNA THEODOROPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2050 CLAIRE CT, GLENVIEW, IL 60025-7635
(844) 656-8763
(847) 556-1715
Mailing address
2050 CLAIRE CT, GLENVIEW, IL 60025-7635
(844) 656-8763
(847) 556-1715
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036098347
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036098347
—
IL
Enumeration date
05/27/2005
Last updated
02/22/2022
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