Individual
DR. STAVROS G MARAGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
195 SPRINGFIELD AVE UNIT 201, JOLIET, IL 60435-6526
(815) 823-8200
(815) 823-8201
Mailing address
13011 S 104TH AVE STE 100, PALOS PARK, IL 60464-1508
(708) 478-3600
(708) 478-3552
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036097947
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01621208
BLUECROSSBLUESHIELD
IL
05
—
036097947
—
IL
01
—
060049938
WILL COUNTY RAILROAD MEDI
IL
01
—
060049939
COOK COUNTY RAILRAOD MEDI
IL
01
—
060056569
KANKAKEE RAILROAD MEDICAR
IL
01
—
1508810086
GROUP NPI
IL
01
—
236550
MEDICARE GROUP
IL
01
—
236551
MEDICARE GROUP
IL
01
—
416810
MEDICARE GROUP
IL
01
—
792811
UNITED HMO PROVIDER NUMBE
IL
01
—
CD8033
RAILROAD MEDICARE GROUP PTAN NUMBER
IL
01
—
CG1672
RAILROAD MEDICARE GROUP PTAN NUMBER
IL
01
—
CN2703
RAILROAD MEDICARE GROUP PTAN NUMBER
IL
Enumeration date
04/12/2006
Last updated
09/04/2020
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