Tsaras, Geoffrey
Tsaras, Geoffrey is an individual health care provider with primary practice located at 1340 Charles St Ste 404 , Rockford IL 61104-2200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Tsaras, Geoffrey can be contacted via phone (779) 696-1890.Contact Information
Primary practice address
1340 Charles St Ste 404
Rockford IL 61104-2200
Phone: (779) 696-1890
Fax: (779) 696-2410
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 103894 | Minnesota |
Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 036126289 | Illinois |
Profile Details
NPI number | 1023278769 |
---|---|
LBN Legal business name | Tsaras, Geoffrey |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 16th, 2008 |
Last updated | Mar 12th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1023278769 | NPPES |
Illinois | MEDICAID | 036126289 | |
Illinois | MEDICAID | ENROLLED | |
Illinois | Other | P00746355 |
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