Most Relevant Information
Provider Data
| NPI Number: | 1003804519 |
| Provider Name: | DOROTHEA POULOS MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | 036-066780 |
Most Important Dates
| Enumeration Date: | 10/10/2005 |
| Last Updated: | 12/03/2021 |
Provider Practice Location
87 N AIRLITE ST STE 130
ELGIN
IL
601234991
Practice Location Phone/Fax
| Phone: | 8478883661 |
| Fax: | 8478889964 |
Provider Mailing Location
87 N AIRLITE ST STE 130
ELGIN
IL
601234991
Provider Mailing Phone/Fax
| Phone: | 8478883661 |
| Fax: | 8478889964 |
Suggested EMR
Family Practice EMR