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Individual

DR. THOMAS D PATRIANAKOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0001637629
BLUE CROSS BLUE SHIELD
IL
05
036113316
IL
Enumeration date
07/16/2006
Last updated
05/26/2026
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