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Individual

FOTI T CHRONOPOULOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5851 W 95TH ST, SUITE 400, OAK LAWN, IL 60453-2394
(708) 857-7230
(708) 425-5779
Mailing address
5851 W 95TH ST, SUITE 400, OAK LAWN, IL 60453-2362
(708) 857-7230
(708) 425-5779

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036093775
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0071648348
BCBS
IL
01
0081647390
BCBS
IL
05
036093775
IL
Enumeration date
12/28/2006
Last updated
09/06/2016
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