Liakos, Photine
Liakos, Photine is an individual health care provider with primary practice located at 2111 Midlands Ct , Sycamore IL 60178-3125. She recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as her primary health care specialty. Liakos, Photine can be contacted via phone (815) 758-0000.Contact Information
Primary practice address
2111 Midlands Ct
Sycamore IL 60178-3125
Phone: (815) 758-0000
Fax: (815) 758-0094
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 036-097169 | Illinois |
Profile Details
| NPI number | 1134234305 |
|---|---|
| LBN Legal business name | Liakos, Photine |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 20th, 2006 |
| Last updated | Mar 23rd, 2010 - about 14 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 | 1134234305 | NPPES |
| Illinois | Other | 200031974 | RAILROAD MEDICARE |
| Illinois | Other | 035915 | RAILROAD MEDICARE |
| Illinois | Other | 0359580001 | RAILROAD MEDICARE |
| Illinois | Other | 01915167 | RAILROAD MEDICARE |
| Illinois | MEDICAID | 036097169 | RAILROAD MEDICARE |
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