Individual
CONNIE NACOPOULOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
424 N BROADVIEW AVE, LOMBARD, IL 60148-1563
(630) 247-3083
Mailing address
424 N BROADVIEW AVE, LOMBARD, IL 60148-1563
(630) 247-3083
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-049354
IL
Other
Enumeration date
05/22/2007
Last updated
02/11/2016
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