Individual
DR. PETER G CHIOROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
5215 N CALIFORNIA AVE, STE. 804, CHICAGO, IL 60625-7014
(773) 907-7750
(773) 907-7760
Mailing address
2740 W FOSTER AVE, LL7, CHICAGO, IL 60625-3500
(773) 878-8200
(773) 293-4197
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016003834
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016003834
—
IL
01
—
480016126
MEDICARE RAILROAD
IL
01
—
60001533
BLUE CROSS BLUE SHIELD
IL
01
—
F400111859
PTAN
—
Enumeration date
05/12/2006
Last updated
04/07/2021
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