Sarros, Athanasia

Sarros, Athanasia is an individual health care provider with primary practice located at 40 Skokie Blvd Ste 520 , Northbrook IL 60062-1601. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Sarros, Athanasia can be contacted via phone (847) 504-5000.

Contact Information

Primary practice address
40 Skokie Blvd Ste 520 Northbrook IL 60062-1601
Fax: (847) 504-5015
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 016-005008 Illinois

Profile Details

NPI number 1689626905
LBN Legal business name Sarros, Athanasia
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Jan 22nd, 2019 - about 6 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 1689626905 NPPES
Other 0732240001 DMERC # WITH PPG
MEDICAID 016005008 DMERC # WITH PPG

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