Individual
DR. PETER GEORGIOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C., CCSP
Contact information
Practice address
916 W BELMONT AVE, CHICAGO, IL 60657-4427
(773) 665-4400
(773) 665-4439
Mailing address
916 W. BELMONT, CHICAGO, IL 60657
(773) 665-4400
(773) 665-4439
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
038007148
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1682495
BLUE CROSS BLUE SHIELD
IL
Enumeration date
09/20/2006
Last updated
10/04/2022
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