Individual
THOMAS TRIANTAFILLOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4220 W 95TH ST STE 200, OAK LAWN, IL 60453-3072
(708) 398-0287
(708) 398-0285
Mailing address
4220 W 95TH ST STE 200, OAK LAWN, IL 60453-3072
(708) 684-4393
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-106624
IL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
036106624
IL
Other
Enumeration date
12/15/2006
Last updated
12/15/2021
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