| Elizabeth Fotopoulos Llc | |
|
24w788 75th St Naperville IL 60565-1684 | |
| (630) 881-5564 | |
| Not Available |
| Full Name | Elizabeth Fotopoulos Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 24w788 75th St, Naperville, Illinois |
| Authorized Official Name and Position | Elizabeth Fotopoulos (MANAGER) |
| Authorized Official Contact | 6308815564 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Fotopoulos Llc 24w788 75th St Naperville IL 60565-1684 Ph: (630) 881-5564 | Elizabeth Fotopoulos Llc 24w788 75th St Naperville IL 60565-1684 Ph: (630) 881-5564 |
| NPI Number | 1073377396 |
|---|---|
| Provider Enumeration Date | 02/07/2024 |
| Last Update Date | 05/29/2026 |
| Certification Date | 05/29/2026 |
| Medicare PECOS PAC ID | 4981124211 |
|---|---|
| Medicare Enrollment ID | O20250218000208 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073377396 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Elizabeth Fotopoulos |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801207915 PECOS PAC ID: 8426578758 Enrollment ID: I20250218000371 |
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