Mougolias, Dimitrios T.
Mougolias, Dimitrios T. is an individual health care provider with primary practice located at 801 S Milwaukee Ave , Libertyville IL 60048-3204. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Mougolias, Dimitrios T. can be contacted via phone (847) 990-2075.Contact Information
Primary practice address
801 S Milwaukee Ave
Libertyville IL 60048-3204
Phone: (847) 990-2075
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 53098-20 | Wisconsin |
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | 036118251 | Illinois |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 036118251 | Illinois |
Profile Details
| NPI number | 1053520700 |
|---|---|
| LBN Legal business name | Mougolias, Dimitrios T. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 21st, 2007 |
| Last updated | Feb 12th, 2024 - about 2 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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