Organization
THEODORE POLIZOS DPM COMPREHENSIVE PODIATRIC MEDICAL SERVICES, LTD.
Active
Other names
Comprehensive Podiatric Medical Services, Ltd.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEODORE POLIZOS DPM (PHYSICIAN/OWNER)
(773) 271-9050
Entity
Organization
Contact information
Practice address
2740 W FOSTER AVE, SUITE #205, CHICAGO, IL 60625-3500
(773) 271-9050
(773) 271-9051
Mailing address
PO BOX 95727, HOFFMAN ESTATES, IL 60195-0727
(773) 271-9050
(773) 271-9051
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01608070
BLUE CROSS BLUE SHIELD
IL
Enumeration date
11/14/2006
Last updated
03/09/2010
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