Patrianakos, Thomas D

Patrianakos, Thomas D is an sole proprietor health care provider with primary practice located at 5683 N Milwaukee Ave , Chicago IL 60646-6220. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Patrianakos, Thomas D can be contacted via phone (773) 792-2020.

Contact Information

Primary practice address
5683 N Milwaukee Ave Chicago IL 60646-6220
Phone: (773) 792-2020
Fax: (773) 792-2025
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 036-113316 Illinois

Profile Details

NPI number 1073530929
LBN Legal business name Patrianakos, Thomas D
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 16th, 2006
Last updated Apr 28th, 2021 - about 5 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 1073530929 NPPES
Illinois Other 0001637629 BLUE CROSS BLUE SHIELD
Illinois MEDICAID 036113316 BLUE CROSS BLUE SHIELD

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