Organization
ANGELO TSAKOPOULOS MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELO G TSAKOPOULOS MD (MD)
(708) 798-9170
Entity
Organization
Contact information
Practice address
19550 GOVERNORS HWY, SUITE 2700, FLOSSMOOR, IL 60422-2125
(708) 798-9170
(708) 798-9173
Mailing address
PO BOX 1149, MATTESON, IL 60443-4149
(708) 747-5850
(708) 747-9991
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036111440
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1639013
BCBSIL GROUP #
IL
Enumeration date
12/17/2007
Last updated
11/25/2009
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