Polizos, Theodore
Polizos, Theodore is an sole proprietor health care provider with primary practice located at 2740 W Foster Ave Suite #205, Chicago IL 60625-3500. He recently has 6 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Public Medicine, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Radiology, Podiatric Medicine & Surgery Service Providers / Sports Medicine, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Polizos, Theodore can be contacted via phone (773) 271-9050.Contact Information
Primary practice address
2740 W Foster Ave Suite #205
Chicago IL 60625-3500
Phone: (773) 271-9050
Fax: (773) 271-9051
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Public Medicine | 213EP0504X | 016004322 | Illinois |
| Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | 016004322 | Illinois |
| Podiatric Medicine & Surgery Service Providers / Radiology | 213ER0200X | 016004322 | Illinois |
| Podiatric Medicine & Surgery Service Providers / Sports Medicine | 213ES0000X | 016004322 | Illinois |
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 016004322 | Illinois |
| Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | 016004322 | Illinois |
Profile Details
| NPI number | 1811080138 |
|---|---|
| LBN Legal business name | Polizos, Theodore |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 30th, 2006 |
| Last updated | Jul 15th, 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 | 1811080138 | NPPES |
| Illinois | Other | 480028904 | RRM |
| Illinois | MEDICAID | 016004322 | RRM |
| Illinois | Other | 01608070 | RRM |
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