Ampalloor, George Thomas

Ampalloor, George Thomas is an individual health care provider with primary practice located at 1044 N Mozart St Suite 402, Chicago IL 60622-2789. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Ampalloor, George Thomas can be contacted via phone (773) 292-4501.

Contact Information

Primary practice address
1044 N Mozart St Suite 402 Chicago IL 60622-2789
Phone: (773) 292-4501
Fax: (773) 292-2613
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036-105483 Illinois

Profile Details

NPI number 1194733584
LBN Legal business name Ampalloor, George Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Jun 15th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194733584 NPPES
Illinois MEDICAID 036105483

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