Organization
IATROS, M.D.,S.C.
Active
Organization
IATROS, M.D.,S.C.
Active
Other names
Peter C. Roumeliotis, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
MARY M. SMITH (BILLER/CODER)
(815) 942-5200
Entity
Organization
Contact information
Practice address
1300 DRESDEN DR, MORRIS, IL 60450-2476
(815) 942-5200
(815) 943-5330
Mailing address
1300 DRESDEN DR, MORRIS, IL 60450-2476
(815) 942-5200
(815) 942-5330
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0003204876
BLUE CROSS BLUE SHIELD
IL
01
—
020475
HEALTH ALLIANCE
IL
Enumeration date
06/02/2006
Last updated
08/22/2020
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