A. Tom Petropulos, M.D.

LBN: A. Tom Petropulos, M.D.
A. Tom Petropulos, M.D. is an health care organization with primary practice located at 4400 W 95Th St Suite 306, Oak Lawn IL 60453-2654. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is the primary health care specialty. A. Tom Petropulos, M.D. can be contacted via phone (708) 346-5562, or through Petropulos, A. Tom via phone (708) 346-5562.

Contact Information

Primary practice address
4400 W 95Th St Suite 306 Oak Lawn IL 60453-2654
Phone: (708) 346-5562
Fax: (708) 346-2059
Website:
Map and Directions
Authorized official contact:
Name: Petropulos, A. Tom Doctor of Medicine (MD)
Phone: (708) 346-5562

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X

Profile Details

NPI number 1619991361
LBN Legal business name A. Tom Petropulos, M.D.
DBA Doing business as
Authorized official Petropulos, A. Tom Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 26th, 2006
Last updated Feb 5th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619991361 NPPES
Other 0001619074 GROUP BLUE SHIELD

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