Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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John Stathopoulos

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1205577939

John Stathopoulos is a Student in an Organized Health Care Education/Training Program in Chicago, Illinois. Practices as a sole proprietor and works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

1620 W Harrison St
Chicago, IL 60612-3801
Phone: (312) 942-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 333 Borthwick Ave, Portsmouth, NH 03801-7128 — (603) 436-5110

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 125082637 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1205577939
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 5, 2022
Last updated in NPPESJuly 27, 2023
Certification dateJuly 27, 2023
Mailing address1620 W Harrison St, Chicago, IL 60612-3801

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