Poulos, Christine M

Poulos, Christine M is an individual health care provider with primary practice located at 2403 Harnish Dr Ste 101 , Algonquin IL 60102. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Poulos, Christine M can be contacted via phone (224) 333-0730.

Contact Information

Primary practice address
2403 Harnish Dr Ste 101 Algonquin IL 60102
Phone: (224) 333-0730
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036-090598 Illinois

Profile Details

NPI number 1679678874
LBN Legal business name Poulos, Christine M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2006
Last updated Nov 5th, 2018 - about 7 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 1679678874 NPPES
Illinois Other 036-090598 ILLINOIS LICENSE PHYSICIAN AND SURGEON

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