Christou, Theodore

Christou, Theodore is an sole proprietor health care provider with primary practice located at 4318 S State St , Chicago IL 60609-3701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Christou, Theodore can be contacted via phone (773) 285-9304.

Contact Information

Primary practice address
4318 S State St Chicago IL 60609-3701
Phone: (773) 285-9304
Fax: (773) 564-3501
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 036067036 Illinois

Profile Details

NPI number 1235106022
LBN Legal business name Christou, Theodore
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 1st, 2006
Last updated Nov 11th, 2022 - about 4 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 1235106022 NPPES
Illinois MEDICAID 036067036

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