Dorothea Poulos is a Family Medicine in Elgin, Illinois. Dorothea Poulos practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Dorothea Poulos is 1003804519. The last update date is 2021-12-03.
Dorothea Poulos's current location address is 87 N Airlite St Ste 130, Elgin, Illinois. You can contact this provider via phone number 8478883661 and fax number 8478889964. The mailing address for Dorothea Poulos is 87 N Airlite St Ste 130, Elgin, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Dorothea Poulos |
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Address | 87 N Airlite St Ste 130, Elgin, Illinois |
Phone Number | 8478883661 |
Fax Number | 8478889964 |
Sole Proprietor | Y |
Credentials | MD |
NPI Number Detail
NPI Number | 1003804519 |
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Provider Enumeration Date | 2005-10-10 |
Last Updated Date | 2021-12-03 |
Provider Mailing Address Detail
Address | 87 N Airlite St Ste 130 |
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City | Elgin |
State | Illinois (IL) |
Post Code | 601234991 |
Phone Number | 8478883661 |
Fax Number | 8478889964 |
Provider's Primary Taxonomy Detail
Speciality | Family Medicine |
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Taxonomy | 207Q00000X |
Licence No | 036-066780 |
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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36066780 | IL | -- | |
110021524 | RAILROAD RETIREMENT BOARD |
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What is the unique 10-digit identifier code issued to Dorothea Poulos by the Centers for Medicare & Medicaid Services?
The Dorothea Poulos has been assigned the NPI (National Provider Identifier) 1003804519 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Dorothea Poulos?
The Dorothea Poulos is situated at 87 N Airlite St Ste 130, in the city of Elgin, state of IL, with the zip code 601234991.
What is Dorothea Poulos's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Dorothea Poulos's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.
When was the Dorothea Poulos's 1003804519 issued?
The Dorothea Poulos's 1003804519 was issued on 2005-10-10.
As of what date were the details related to Dorothea Poulos most recently updated or revised?
The information pertaining to Dorothea Poulos, including its address, specialty, and other relevant details, was last updated or revised on 2021-12-03.