Psaradellis, Telly

Psaradellis, Telly is an individual health care provider with primary practice located at 2850 S Wabash Ave Suite 100, Chicago IL 60616-2955. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Psaradellis, Telly can be contacted via phone (312) 842-4600.

Contact Information

Primary practice address
2850 S Wabash Ave Suite 100 Chicago IL 60616-2955
Phone: (312) 842-4600
Fax: (312) 842-8694
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 036-113086 Illinois

Profile Details

NPI number 1336110022
LBN Legal business name Psaradellis, Telly
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Apr 24th, 2009 - about 15 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 1336110022 NPPES
Illinois Other CF2064 RAILROAD GROUP
Illinois MEDICAID 036113086 RAILROAD GROUP
Illinois Other P00252879 RAILROAD GROUP

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