Maltezos, Stavros Nicholas

Maltezos, Stavros Nicholas is an sole proprietor health care provider with primary practice located at 3825 Highland Ave Tower 1, Suite 5M, Downers Grove IL 60515-1552. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Maltezos, Stavros Nicholas can be contacted via phone (630) 725-9890.

Contact Information

Primary practice address
3825 Highland Ave Tower 1, Suite 5M Downers Grove IL 60515-1552
Phone: (630) 725-9890
Fax: (630) 725-0988
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X Illinois

Profile Details

NPI number 1902987076
LBN Legal business name Maltezos, Stavros Nicholas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2006
Last updated Jul 9th, 2007 - about 19 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 1902987076 NPPES
Illinois Other 0001617783 BLUE SHIELD OF ILLINOIS

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