Provider Demographics
NPI:1326644089
Name:PAPASOTIRIOU, DROSOS
Entity Type:Individual
Prefix:
First Name:DROSOS
Middle Name:
Last Name:PAPASOTIRIOU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:DROSOS
Other - Middle Name:
Other - Last Name:PAPASOTIRIOU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CPT
Mailing Address - Street 1:3000 DUNDEE RD STE 208
Mailing Address - Street 2:
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062-2432
Mailing Address - Country:US
Mailing Address - Phone:773-344-2038
Mailing Address - Fax:
Practice Address - Street 1:3000 DUNDEE RD STE 208
Practice Address - Street 2:
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062-2432
Practice Address - Country:US
Practice Address - Phone:773-344-2038
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-08
Last Update Date:2020-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL246QL0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246QL0900XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyLaboratory ManagementGroup - Single Specialty