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Contact Information

STAVROS O ALEXOPOULOS, DPM
2740 W FOSTER AVE STE 107
CHICAGO, IL60625-3543
 Phone: 773-561-8100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for STAVROS O ALEXOPOULOS · (Male)

NPI # 1710102017
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 04/13/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 016004298
  • IL Other 60010812 BLUE SHIELD OF ILLINOIS
Hospital affiliation(s)
  • EVANSTON HOSPITAL - (Acute Care)
    2650 RIDGE AVE
    EVANSTON, IL 60201
  • SWEDISH COVENANT HOSPITAL - (Acute Care)
    5145 N CALIFORNIA AVE
    CHICAGO, IL 60625
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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