Andricacou, Calliope C

Andricacou, Calliope C is an sole proprietor health care provider with primary practice located at 2850 W 95Th St #404, Evergreen Park IL 60805. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Andricacou, Calliope C can be contacted via phone (708) 423-4000.

Contact Information

Primary practice address
2850 W 95Th St #404 Evergreen Park IL 60805
Phone: (708) 423-4000
Fax: (708) 423-4097
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036058640 Illinois

Profile Details

NPI number 1245345545
LBN Legal business name Andricacou, Calliope C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 20th, 2006
Last updated Sep 11th, 2012 - about 14 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 1245345545 NPPES
Illinois Other 21608967 BCBS

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