Individual
DR. PETER GEORGIOU
Active
Individual
DR. PETER GEORGIOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C., CCSP
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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