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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811080138 NPPES
Illinois Other 480028904 RRM
Illinois MEDICAID 016004322 RRM
Illinois Other 01608070 RRM

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