Stathopoulos, Tom K
Stathopoulos, Tom K is an individual health care provider with primary practice located at 4309 W Medical Center Dr Ste A200 , Mchenry IL 60050. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Stathopoulos, Tom K can be contacted via phone (815) 759-8070.Contact Information
Primary practice address
4309 W Medical Center Dr Ste A200
Mchenry IL 60050
Phone: (815) 759-8070
Fax: (815) 759-4931
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 036098988 | Illinois |
Profile Details
| NPI number | 1922053511 |
|---|---|
| LBN Legal business name | Stathopoulos, Tom K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2006 |
| Last updated | Oct 22nd, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922053511 | NPPES |
| Illinois | Other | 1740231505 | NPI GROUP PRACTICE |
| Illinois | Other | 036098988 | NPI GROUP PRACTICE |
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