Polychronopoulos, Soterios G

Polychronopoulos, Soterios G is an individual health care provider with primary practice located at 11638 S Western Ave , Chicago IL 60643. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Polychronopoulos, Soterios G can be contacted via phone (773) 445-2422.

Contact Information

Primary practice address
11638 S Western Ave Chicago IL 60643
Phone: (773) 445-2422
Fax: (773) 445-5182
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 036051757 Illinois

Profile Details

NPI number 1346232493
LBN Legal business name Polychronopoulos, Soterios G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Nov 8th, 2016 - about 10 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 1346232493 NPPES
Illinois MEDICAID 036051757
Illinois Other 110019213
Illinois Other 31602250

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