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Individual
PHOTINE LIAKOS
Active
Individual
PHOTINE LIAKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036-097169
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01915167
BLUE CROSS/BLUE SHIELD
IL
01
—
035915
RAILROAD MEDICARE
IL
01
—
0359580001
DMERC
IL
05
—
036097169
—
IL
01
—
200031974
RAILROAD MEDICARE
IL
Enumeration date
08/20/2006
Last updated
03/23/2010
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