Individual
DR. ELIAS S HOHLASTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
251 E HURON ST, CHICAGO, IL 60611-2908
(312) 926-5200
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036.121132
IL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
036121132
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202926
GROUP PTAN
IL
01
—
212545
GROUP PTAN
IL
Enumeration date
08/12/2008
Last updated
02/07/2024
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