Provider Demographics
NPI:1568284941
Name:HADJIAGAPIOU, DESPINA
Entity type:Individual
Prefix:
First Name:DESPINA
Middle Name:
Last Name:HADJIAGAPIOU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:99 OAK LEAF LN APT 306
Mailing Address - Street 2:
Mailing Address - City:VERNON HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60061-1871
Mailing Address - Country:US
Mailing Address - Phone:708-870-3737
Mailing Address - Fax:
Practice Address - Street 1:565 LAKEVIEW PWKY
Practice Address - Street 2:STE 150
Practice Address - City:VERNON HILLS
Practice Address - State:IL
Practice Address - Zip Code:60061
Practice Address - Country:US
Practice Address - Phone:866-815-6592
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-28
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician