Mihalakakos, Peter

Mihalakakos, Peter is an individual health care provider with primary practice located at 330 Madison St Suite 104, Joliet IL 60435-6565. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Mihalakakos, Peter can be contacted via phone (815) 725-3440.

Contact Information

Primary practice address
330 Madison St Suite 104 Joliet IL 60435-6565
Fax: (815) 725-7209
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 036090844 Illinois

Profile Details

NPI number 1720022031
LBN Legal business name Mihalakakos, Peter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Mar 23rd, 2021 - about 3 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 1720022031 NPPES
Illinois MEDICAID 036090844

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