Vaselopulos, Peter Thomas

Vaselopulos, Peter Thomas is an individual health care provider with primary practice located at 800 Austin St Suite 569, Evanston IL 60202-3439. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Vaselopulos, Peter Thomas can be contacted via phone (847) 328-5600.

Contact Information

Primary practice address
800 Austin St Suite 569 Evanston IL 60202-3439
Phone: (847) 328-5600
Fax: (847) 328-9129
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 036090702 Illinois

Profile Details

NPI number 1578608949
LBN Legal business name Vaselopulos, Peter Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2007
Last updated Sep 11th, 2012 - about 12 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 1578608949 NPPES
Illinois MEDICAID 036090702

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