Theodoropoulos, Philip

Theodoropoulos, Philip is an sole proprietor health care provider with primary practice located at 9650 Gross Point Rd Ste 3900 , Skokie IL 60076-5085. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Theodoropoulos, Philip can be contacted via phone (847) 570-1700.

Contact Information

Primary practice address
9650 Gross Point Rd Ste 3900 Skokie IL 60076-5085
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 036096989 Illinois

Profile Details

NPI number 1588678692
LBN Legal business name Theodoropoulos, Philip
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2006
Last updated Feb 18th, 2021 - about 3 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 1588678692 NPPES
Illinois Other 1629966 BCBS IL NIESS
Illinois Other 1630046 BCBS IL NIESS
Illinois MEDICAID 036096989 BCBS IL NIESS
Illinois Other P00197606 BCBS IL NIESS
Illinois Other 7234385 BCBS IL NIESS

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