Provider Information for 1851006928
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ANGELO GEORGACOPOULOS LCPC
Sex: Male
NPI: 1851006928
Last Updated: 2023-01-23
Certification Date: 2023-01-23
Certification Date: 2023-01-23
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1851006928 | ||||||||
| Enumeration Date | 2023-01-23 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 370 GOLFVIEW CT BLOOMINGDALE, IL 60108-1800 United States Phone: 630-841-1561 | Fax: | ||||||||
| Primary Practice Address | 370 GOLFVIEW CT BLOOMINGDALE, IL 60108-1800 United States Phone: 630-841-1561 | Fax: | ||||||||
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