Theodoropoulos, Bozena Grazyna

Theodoropoulos, Bozena Grazyna is an individual health care provider with primary practice located at 2050 Claire Ct , Glenview IL 60025-7635. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Theodoropoulos, Bozena Grazyna can be contacted via phone (844) 656-8763.

Contact Information

Primary practice address
2050 Claire Ct Glenview IL 60025-7635
Fax: (847) 556-1715
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036098347 Illinois

Profile Details

NPI number 1619970225
LBN Legal business name Theodoropoulos, Bozena Grazyna
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Feb 22nd, 2022 - about 4 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 1619970225 NPPES
Illinois MEDICAID 036098347

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