Roumeliotis, Peter Charles
Roumeliotis, Peter Charles is an individual health care provider with primary practice located at 1300 W. Dresden Drive , Morris IL 60450. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Roumeliotis, Peter Charles can be contacted via phone (815) 942-5200.Contact Information
Primary practice address
1300 W. Dresden Drive
Morris IL 60450
Phone: (815) 942-5200
Fax: (815) 942-5330
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036085485 | Illinois |
Profile Details
| NPI number | 1942280326 |
|---|---|
| LBN Legal business name | Roumeliotis, Peter Charles |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 20th, 2006 |
| Last updated | Jun 15th, 2020 - about 6 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 | 1942280326 | NPPES |
| Illinois | MEDICAID | 036085485 | |
| Illinois | Other | 020475 | |
| Illinois | Other | 003204876 |
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