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Organization

SPIROS K. ANALITIS, M.D.,P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SPIROS K. ANALITIS M.D. (PRESIDENT/OWNER)
(847) 382-6042
Entity
Organization

Contact information

Practice address
2350 N ROCKTON AVE, ROCKFORD, IL 61103-3600
(815) 971-5550
Mailing address
1885 N BRAYMORE DR, INVERNESS, IL 60010-6406
(847) 382-6042

Taxonomy

Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
036069744
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
31602518
BLUE SHIELD OF ILLINOIS
IL
Enumeration date
04/11/2008
Last updated
05/15/2008
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