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THEODORE POLIZOS DPM COMPREHENSIVE PODIATRIC MEDICAL SERVICES LTD. NPI 1538231782


NPI Information

NPI: 1538231782
Provider Name: THEODORE POLIZOS DPM COMPREHENSIVE PODIATRIC MEDICAL SERVICES, LTD.

Other Name: COMPREHENSIVE PODIATRIC MEDICAL SERVICES, LTD.

Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
2740 W FOSTER AVE
SUITE #205
CHICAGO, IL
ZIP 60625
Phone: (773) 271-9050
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THEODORE POLIZOS DPM COMPREHENSIVE PODIATRIC MEDICAL SERVICES, LTD. is a foot and ankle surgery podiatrist in Chicago, IL. THEODORE POLIZOS DPM COMPREHENSIVE PODIATRIC MEDICAL SERVICES, LTD. NPI is 1538231782. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Comprehensive Podiatric Medical Services, Ltd..

The provider's business location address is:

2740 W FOSTER AVE
SUITE #205
CHICAGO, IL
ZIP 60625-500
Phone: (773) 271-9050
Fax: (773) 271-9051

The provider's authorized official is Theodore Polizos .
The authorized official title is Physician/owner and has the following contact phone number (773) 271-9050.

The enumeration date for this NPI number is 11/14/2006 and was last updated on 3/9/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0103XPodiatristFoot & Ankle SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11312440001MEDICARE NSCILLINOIS
2932943MEDICARE PINILLINOIS
301608070OTHERILLINOISBLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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