Poulos, John D
Poulos, John D is an individual health care provider with primary practice located at 9194 W Golf Rd , Niles IL 60714-5806. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Poulos, John D can be contacted via phone (847) 795-1700.Contact Information
Primary practice address
9194 W Golf Rd
Niles IL 60714-5806
Phone: (847) 795-1700
Fax: (847) 795-1750
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | Illinois |
Profile Details
| NPI number | 1891714671 |
|---|---|
| LBN Legal business name | Poulos, John D |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1891714671 | NPPES |
| Illinois | Other | 1630049 | BLUE CROSS/BLUE SHIELD |
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