DR. DIMITRIOS KOTSOPULOS (NPI# 1437161254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437161254 |
| Entity Type | Individual |
| Full Name | DR. DIMITRIOS KOTSOPULOS |
| Credential | D.P.M. |
| Practice Address |
12400 S Harlem Ave Ste 201 Palos Heights IL 60463-1476 |
| Practice Telephone | 7089239630 |
| Mailing Telephone | 7089239630 |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2020-05-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 07000916A | IN | Podiatric Medicine & Surgery Service Providers |
| N | 213E00000X | Podiatrist | 016-004977 | IL | Podiatric Medicine & Surgery Service Providers |
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
07000916A | IN | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
016-004977 | IL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | IL BC/BS PROVIDER # | 01632993 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5454 Hohman Ave, Hammond, IN 463201931 | 7089239630 |
| Street Address |
12400 S HARLEM AVE STE 201 |
| City | PALOS HEIGHTS |
| State | IL |
| Zip Code | 60463-1476 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255402749 | Dimitrios Kotsopulos, D.p.m., P.C. | Podiatrist | 12400 S Harlem Ave Ste 201, Palos Heights, IL 60463-1476 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932756095 | Kim Rusiecki | Technician | 25 Parliament Drive East, Palos Heights, IL 60463 | 2019-08-23 |
| 1265925218 | Sentinel Anesthesia of Illinois, PC | Anesthesiology | 7340 W College Dr Fl 1, Palos Heights, IL 60463 | 2018-06-13 |
| 1225410848 | Deborah Ann Castaneda | Skilled Nursing Facility | 12350 Natchez Ave., Palos Heights, IL 60463 | 2015-06-19 |
| 1609253160 | Tareq Ayyad | Physical Therapy Assistant | 11730 Lighthouse Ln, Palos Heights, IL 60463 | 2015-05-04 |
| 1366846503 | Ryan Teahen | Dentist | 7600 W College Dr Ste 17, Palos Heights, IL 60463 | 2014-10-17 |
| 1295140309 | Paul Park | Ophthalmology | 7600 W College Dr Ste 9, Palos Heights, IL 60463 | 2014-06-26 |
| 1275976045 | Nazim A. Khan | Physician Assistant | 6450 West College Drive, Palos Heights, IL 60463 | 2013-04-11 |
| 1619246824 | Amanda M Ejka | Psychologist | 11800 South 75th Avenue, Suite 300, Palos Heights, IL 60463 | 2011-12-16 |
| 1578832937 | Sandi Maheras | Pharmacist | 1703 Spyglass Cir, Palos Heights, IL 60463 | 2011-12-14 |
| 1043597065 | Ashraf Olwan | Pharmacist | 7660 W Sequoia Rd, Palos Heights, IL 60463 | 2011-11-04 |
| Find all providers in zip 60463 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043341068 | Mark Andrew Fenlon | Podiatrist | 12620 S Harlem Ave, Palos Heights, IL 60463-1428 | 2007-03-08 |
| 1477561553 | Atiyeh Salem | Podiatrist | 7226 W College Dr, Palos Heights, IL 60463-1145 | 2006-08-04 |
| 1740734896 | Salem True Medical Care Ltd | Podiatrist | 7226 W College Dr, Palos Heights, IL 60463-1145 | 2016-08-06 |
| 1134469349 | True Medical and Foot Care Group LLC | Podiatrist | 7226 W College Dr, Palos Heights, IL 60463-1145 | 2013-02-25 |
| 1376720045 | Illinois Mobile Home Physicians Corp. | Podiatrist | 7250 W College Dr, 1sw, Palos Heights, IL 60463-1151 | 2008-01-24 |
| 1255402749 | Dimitrios Kotsopulos, D.p.m., P.C. | Podiatrist | 12400 S Harlem Ave Ste 201, Palos Heights, IL 60463-1476 | 2006-11-13 |
| 1427169077 | James E Geiger Jr. | Podiatrist | 12251 S 80th Ave, Palos Heights, IL 60463-1256 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154930485 | Mid America Foot & Ankle Specialist Illinois LLC | Podiatrist | 2003 Montgomery Rd Ste 108109, Aurora, IL 60504-9078 | 2020-07-22 |
| 1265040026 | Northern Illinois Foot & Ankle Specialists, Ltd | Podiatrist | 4121 Fairview Ave Ste 102, Downers Grove, IL 60515-2266 | 2020-07-17 |
| 1316563612 | Jacob Tilsley | Podiatrist | 610 S Maple Ave Ste 2250, Oak Park, IL 60304-1093 | 2020-06-22 |
| 1033738547 | C James Anderson Dpm LLC | Podiatrist | 1000 Eleven S Ste 3a, Columbia, IL 62236-1077 | 2020-04-14 |
| 1386263895 | C James Anderson Dpm LLC | Podiatrist | 717 Insight Ave Ste 100, O Fallon, IL 62269-2193 | 2020-04-14 |
| 1821631367 | Dr Christine Heck PC | Podiatrist | 111 N Wabash Ave Ste 1914, Chicago, IL 60602-2968 | 2019-10-28 |
| 1013562578 | Bishoy Atef Botros | Podiatrist | 820 S Damen Ave Fl 7, Chicago, IL 60612-3728 | 2019-08-01 |
| 1538623947 | Steven B Overpeck Dpm PC | Podiatrist | 25520 S Pheasant Ln Unit K, Channahon, IL 60410-8808 | 2019-01-30 |
| 1366916355 | Center for Foot and Ankle Surgery Ltd | Podiatrist | 654 W Veterans Pkwy Ste D, Yorkville, IL 60560-2510 | 2019-01-14 |
| 1497224950 | Northern Illinois Foot & Ankle Specialists, Ltd | Podiatrist | 1288 S Us Highway 12, Fox Lake, IL 60020-1950 | 2018-11-14 |
| Find all providers with the same taxonomy | ||||
| City | PALOS HEIGHTS |
| Zip Code | 60463 |
Please comment or provide details below to improve the information on DR. DIMITRIOS KOTSOPULOS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.