Katsoulakis, Nickolas
Katsoulakis, Nickolas is an sole proprietor health care provider with primary practice located at 7340 W College Dr 2Nd Floor, Palos Heights IL 60463-1159. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Katsoulakis, Nickolas can be contacted via phone (708) 361-7800.Contact Information
Primary practice address
7340 W College Dr 2Nd Floor
Palos Heights IL 60463-1159
Phone: (708) 361-7800
Fax: (708) 361-8737
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | LP00389 | Rhode Island |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 247724 | New York |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 036123759 | Illinois |
Profile Details
| NPI number | 1902023088 |
|---|---|
| LBN Legal business name | Katsoulakis, Nickolas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 19th, 2007 |
| Last updated | Feb 18th, 2010 - about 16 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 | 1902023088 | NPPES |
| New York | Other | P00673435 | PALMETTO |
| New York | Other | 650A31 | PALMETTO |
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