Organization
A. TOM PETROPULOS, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
A. TOM PETROPULOS M.D. (PHYSICIAN)
(708) 346-5562
Entity
Organization
Contact information
Practice address
4400 W 95TH ST, SUITE 306, OAK LAWN, IL 60453-2654
(708) 346-5562
(708) 346-2059
Mailing address
4400 W 95TH ST, SUITE 306, OAK LAWN, IL 60453-2654
(708) 346-5562
(708) 346-2059
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001619074
GROUP BLUE SHIELD
—
Enumeration date
07/26/2006
Last updated
02/05/2008
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