Dimopoulos, Joan

Dimopoulos, Joan is an individual health care provider with primary practice located at 2160 S 1St Ave Loyola University Medical Center, Maywood IL 60153-3328. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Dimopoulos, Joan can be contacted via phone (708) 327-2549.

Contact Information

Primary practice address
2160 S 1St Ave Loyola University Medical Center Maywood IL 60153-3328
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 30548 Arizona
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036099835 Illinois

Profile Details

NPI number 1659371573
LBN Legal business name Dimopoulos, Joan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2005
Last updated Apr 6th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659371573 NPPES
Arizona MEDICAID 709967

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