Constantinou, Costas L

Constantinou, Costas L is an individual health care provider with primary practice located at 500 John Deere Rd Ste 102 , Moline IL 61265-6892. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Constantinou, Costas L can be contacted via phone (309) 779-4944.

Contact Information

Primary practice address
500 John Deere Rd Ste 102 Moline IL 61265-6892
Phone: (309) 779-4944
Fax: (309) 779-4989
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 036087414 Illinois
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 32688 Iowa

Profile Details

NPI number 1518970748
LBN Legal business name Constantinou, Costas L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2006
Last updated Jul 30th, 2021 - about 4 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 1518970748 NPPES
Iowa MEDICAID 3217588

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