| Elizabeth Fotopoulos Llc | |
|
115 N Marion St Ste 6 Oak Park IL 60301-1503 | |
| (630) 881-5564 | |
| Not Available |
| Full Name | Elizabeth Fotopoulos Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 115 N Marion St Ste 6, Oak Park, Illinois |
| Authorized Official Name and Position | Elizabeth Fotopoulos (MANAGER) |
| Authorized Official Contact | 6308815564 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Fotopoulos Llc 115 N Marion St Ste 6 Oak Park IL 60301-1503 Ph: (630) 881-5564 | Elizabeth Fotopoulos Llc 115 N Marion St Ste 6 Oak Park IL 60301-1503 Ph: (630) 881-5564 |
| NPI Number | 1073377396 |
|---|---|
| Provider Enumeration Date | 02/07/2024 |
| Last Update Date | 02/07/2024 |
| Certification Date | 02/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073377396 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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