Individual
DR. JOAN DIMOPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2160 S 1ST AVE, LOYOLA UNIVERSITY MEDICAL CENTER, MAYWOOD, IL 60153-3328
(708) 327-2549
Mailing address
458 N RIDGELAND AVE, ELMHURST, IL 60126-2218
(630) 782-0135
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036099835
IL
207P00000X
Emergency Medicine Physician
30548
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
709967
—
AZ
Enumeration date
07/21/2005
Last updated
04/06/2021
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