Tasiopoulos, John Nicholas

Tasiopoulos, John Nicholas is an individual health care provider with primary practice located at 1880 W Winchester Rd Suite 201, Libertyville IL 60048-5341. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Tasiopoulos, John Nicholas can be contacted via phone (847) 247-0187.

Contact Information

Primary practice address
1880 W Winchester Rd Suite 201 Libertyville IL 60048-5341
Phone: (847) 247-0187
Fax: (847) 247-0487
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 207RG0100X Illinois

Profile Details

NPI number 1346384492
LBN Legal business name Tasiopoulos, John Nicholas
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 19th, 2007
Last updated Dec 13th, 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 1346384492 NPPES
Illinois MEDICAID 036-087154
Illinois Other 4907305
Illinois Other 110136967

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