DEMETRIOS BOBOLOS LAC NPI 1851701668

NPI Information

NPI: 1851701668
Provider Name: DEMETRIOS BOBOLOS, LAC
Classification: Acupuncturist - 171100000X
Entity Type: Individual
Address:
512 W BURLINGTON AVE
SUITE 104
LA GRANGE, IL
ZIP 60525
Phone: (708) 469-7592
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Demetrios Bobolos, LAC is an acupuncturist in La Grange, IL. The provider is an acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. Demetrios Bobolos, LAC NPI is 1851701668. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

512 W BURLINGTON AVE
SUITE 104
LA GRANGE, IL
ZIP 60525-221
Phone: (708) 469-7592

The enumeration date for this NPI number is 5/1/2014 and was last updated on 5/1/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	171100000X	Acupuncturist		198.001145	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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