DIMITRIOS KOTSOPULOS D.P.M. P.C. NPI 1255402749

NPI Information

NPI: 1255402749
Provider Name: DIMITRIOS KOTSOPULOS, D.P.M., P.C.
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
12400 S HARLEM AVE STE 201
PALOS HEIGHTS, IL
ZIP 60463
Phone: (708) 923-9630
Get Directions

DIMITRIOS KOTSOPULOS, D.P.M., P.C. is a foot and ankle surgery podiatrist in Palos Heights, IL. DIMITRIOS KOTSOPULOS, D.P.M., P.C. NPI is 1255402749. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12400 S HARLEM AVE STE 201
PALOS HEIGHTS, IL
ZIP 60463-476
Phone: (708) 923-9630

The provider's authorized official is Dimitrios Kotsopulos .
The authorized official title is President, Owner and has the following contact phone number (708) 923-9630.

The enumeration date for this NPI number is 11/13/2006 and was last updated on 5/19/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	01637213	OTHER	ILLINOIS	BC/BS OF IL GROUP #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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