| A-agelopoulos, Llc | |
|
222 Merchandise Mart Plz Suite 4111 Chicago IL 60654-1103 | |
| (773) 992-8024 | |
| Not Available |
| Full Name | A-agelopoulos, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 222 Merchandise Mart Plz, Chicago, Illinois |
| Authorized Official Name and Position | Angela E Agelopoulos (LICENSED CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7739928024 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A-agelopoulos, Llc 1638 W Augusta Blvd Unit 2 Chicago IL 60622-3806 Ph: (773) 992-8024 | A-agelopoulos, Llc 222 Merchandise Mart Plz Suite 4111 Chicago IL 60654-1103 Ph: (773) 992-8024 |
| NPI Number | 1295034841 |
|---|---|
| Provider Enumeration Date | 03/22/2011 |
| Last Update Date | 03/22/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295034841 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071007911 (Illinois) | Primary |
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