A-Agelopoulos, LLC
Psychologist, Clinical in Chicago, IL. Organization (NPI-2).
NPI number1295034841
StatusActive
Last updated in NPPESMar 22, 2011
Details
- NPI
- 1295034841
- Entity type
- Organization (NPI-2)
- Legal business name
- A-Agelopoulos, LLC
- Organization subpart
- No
- Enumeration date
- Mar 22, 2011
- Last updated
- Mar 22, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 071007911 | IL | Yes |
Practice location
222 Merchandise Mart PlzSuite 4111
Chicago, IL 60654-1103
Phone 773-992-8024
Mailing address
1638 W Augusta BlvdUnit 2
Chicago, IL 60622-3806
Phone 773-992-8024
Authorized official
Angela E Agelopoulos
Licensed Clinical Psychologist
7739928024
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