# DR. THOMAS D PATRIANAKOS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1073530929
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 036-113316 | IL | Yes |

## Other

- **Enumeration date:** 07/16/2006
- **Last updated:** 05/26/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0001637629 | BLUE CROSS BLUE SHIELD | IL |
| 05 | — | 036113316 | — | IL |