Vassilios A. Dimitropoulos
Dermatologist Procedural Dermatology MOHS-Micrographic Surgeon and 1 more
10282 W 400 N
Michigan City
, Indiana 46360-9470
Vassilios A. Dimitropoulos
Dermatologist Procedural Dermatology MOHS-Micrographic Surgeon and 1 more
10282 W 400 N
Michigan City
, Indiana 46360-9470
(630) 920-1901
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About
Features
Specialties
- Dermatologist
- MOHS-Micrographic Surgeon
- Procedural Dermatology
Languages spoken
- English
Location
First Address
- Vassilios A. Dimitropoulos
- 745 S Park Ave
- Hinsdale, IL
- Zip : 60521-4645
- Fax : (630) 920-1901
- Phone : (630) 920-1900
Second Address
- Vassilios A. Dimitropoulos
- 10282 W 400 N
- Michigan City, IN
- Zip : 46360-9470
- Fax : (773) 358-2767
- Phone : (773) 351-2862
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207N00000X | Dermatologist | 01084831A | IN |
| N | 207N00000X | Dermatologist | 036113849 | IL |
| Y | 207N00000X | Dermatologist | 4301079801 | MI |
| N | 207ND0101X | MOHS-Micrographic Surgeon | 036113849 | IL |
| N | 207NS0135X | Procedural Dermatology | 036113849 | IL |
National Provider Identifier
| NPI | 1194838045 |
|---|---|
| Provider Name | Vassilios A. Dimitropoulos |
| First Address | Hinsdale, IL 60521-4645 |
| Second Address | Michigan City, IN 46360-9470 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/08/2006 |
| Last Update Date | 23/10/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1194838045 | (05) | MI |
| 27-0422873 | ST JOSEPH DERMATOLOGY TAX ID (01) | MI |
| 27-0907956 | UNIVERSITY DERMATOLOGY TAX ID (01) | IL |
| 813288715 | UNIVERSITY DERMATOLOGY AND VEIN CLINIC (01) | IL |
| 813301692 | ST JOSEPH DERMATOLOGY AND VEIN CLINIC (01) | MI |
| I39241 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.