Lysouvakon, Poj

Lysouvakon, Poj is an individual health care provider with primary practice located at 800 E 55Th St , Chicago IL 60615. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Lysouvakon, Poj can be contacted via phone (773) 702-0660.

Contact Information

Primary practice address
800 E 55Th St Chicago IL 60615
Phone: (773) 702-0660
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 036098561 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036098561 Illinois

Profile Details

NPI number 1346304946
LBN Legal business name Lysouvakon, Poj
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2006
Last updated Oct 11th, 2022 - about 2 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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