Ampalloor, George Thomas
Ampalloor, George Thomas is an individual health care provider with primary practice located at 1044 N Mozart St Suite 402, Chicago IL 60622-2789. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Ampalloor, George Thomas can be contacted via phone (773) 292-4501.Contact Information
Primary practice address
1044 N Mozart St Suite 402
Chicago IL 60622-2789
Phone: (773) 292-4501
Fax: (773) 292-2613
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036-105483 | Illinois |
Profile Details
| NPI number | 1194733584 |
|---|---|
| LBN Legal business name | Ampalloor, George Thomas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2006 |
| Last updated | Jun 15th, 2016 - about 10 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 | 1194733584 | NPPES |
| Illinois | MEDICAID | 036105483 |
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