Papanos, Nicholas S

Papanos, Nicholas S is an sole proprietor health care provider with primary practice located at 1875 West Dempster Street Suite 601, Park Ridge IL 60068. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Papanos, Nicholas S can be contacted via phone (847) 692-6750.

Contact Information

Primary practice address
1875 West Dempster Street Suite 601 Park Ridge IL 60068
Phone: (847) 692-6750
Fax: (847) 692-6755
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036091974 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036-091974 Illinois

Profile Details

NPI number 1134110448
LBN Legal business name Papanos, Nicholas S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 4th, 2005
Last updated Jan 3rd, 2012 - about 13 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 1134110448 NPPES
Illinois MEDICAID 036091974
Illinois MEDICAID 036-091974

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