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DR. THEODORE POLIZOS D.P.M. NPI 1811080138


NPI Information

NPI: 1811080138
Provider Name: DR. THEODORE POLIZOS, D.P.M.
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

PECOS Registration: Yes

Address:
2740 W FOSTER AVE
SUITE #205
CHICAGO, IL
ZIP 60625
Phone: (773) 271-9050
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DR. Theodore Polizos, D.P.M. is a foot and ankle surgery podiatrist in Chicago, IL with 35 years of experience. DR. Theodore Polizos, D.P.M. NPI is 1811080138. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
Graduation Year:1989

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 NPI 1811080138 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of 2 to 4 thickened skin growths (HCPCS:11056)
  • Removal of skin and tissue first 20 sq cm or less (HCPCS:11042)
  • Removal of tissue from 6 or more finger or toe nails (HCPCS:11721)

The enumeration date for this NPI number is 9/30/2006 and was last updated on 7/15/2010.


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
1213EP0504XPodiatristPublic Medicine016004322ILLINOISNo
2213EP1101XPodiatristPrimary Podiatric Medicine016004322ILLINOISNo
3213ER0200XPodiatristRadiology016004322ILLINOISNo
4213ES0000XPodiatristSports Medicine016004322ILLINOISNo
5213ES0131XPodiatristFoot Surgery016004322ILLINOISNo
6213ES0103XPodiatristFoot & Ankle Surgery016004322ILLINOISYes

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
201608070OTHERILLINOISBCBS
3U05486MEDICARE UPINILLINOIS
4016004322MEDICAIDILLINOIS
5K53256MEDICARE PINILLINOIS
6480028904OTHERILLINOISRRM

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.