Andricacou, Calliope C
Andricacou, Calliope C is an sole proprietor health care provider with primary practice located at 2850 W 95Th St #404, Evergreen Park IL 60805. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Andricacou, Calliope C can be contacted via phone (708) 423-4000.Contact Information
Primary practice address
2850 W 95Th St #404
Evergreen Park IL 60805
Phone: (708) 423-4000
Fax: (708) 423-4097
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036058640 | Illinois |
Profile Details
NPI number | 1245345545 |
---|---|
LBN Legal business name | Andricacou, Calliope C |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 20th, 2006 |
Last updated | Sep 11th, 2012 - about 12 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1245345545 | NPPES |
Illinois | Other | 21608967 | BCBS |
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