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NPI 1487923330

IndividualActive

Albert Mitsos, M.D.

NPI 1487923330 · Legal Medicine · Long Grove, IL

Provider details

NPI number: 1487923330
Entity type: Individual
Primary specialty: Legal MedicineOther Service Providers
Credential: M.D.
Sex: Male
Sole proprietor: Yes
License: 036.057690 (IL)

Practice location

5675 Port Clinton Rd

Long Grove, IL 60047-5059

Phone: (847) 634-2206

Fax: (847) 821-1108

More IL providers

Mailing address

5675 Port Clinton Rd

Long Grove, IL 60047-5059

Registry dates

Enumerated: 2011-12-22
Last updated: 2011-12-22

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Albert Mitsos, M.D. — NPI 1487923330, Long Grove, IL | NPI Central