Maragos, Stavros G

Maragos, Stavros G is an individual health care provider with primary practice located at 195 Springfield Ave Unit 201 , Joliet IL 60435-6526. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Maragos, Stavros G can be contacted via phone (815) 823-8200.

Contact Information

Primary practice address
195 Springfield Ave Unit 201 Joliet IL 60435-6526
Phone: (815) 823-8200
Fax: (815) 823-8201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036097947 Illinois

Profile Details

NPI number 1508820184
LBN Legal business name Maragos, Stavros G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2006
Last updated Sep 4th, 2020 - 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 1508820184 NPPES
Illinois MEDICAID 036097947
Illinois Other CG1672
Illinois Other CN2703
Illinois Other 060049939
Illinois Other 060056569
Illinois Other 01621208
Illinois Other 416810
Illinois Other 236550
Illinois Other 236551
Illinois Other CD8033
Illinois Other 060049938
Illinois Other 1508810086
Illinois Other 792811

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