Individual
DR. THEODORE POLIZOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
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
213EP0504X
Public Medicine Podiatrist
016004322
IL
213EP1101X
Primary Podiatric Medicine Podiatrist
016004322
IL
213ER0200X
Radiology Podiatrist
016004322
IL
213ES0000X
Sports Medicine Podiatrist
016004322
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016004322
IL
213ES0131X
Foot Surgery Podiatrist
016004322
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016004322
—
IL
01
—
01608070
BCBS
IL
01
—
480028904
RRM
IL
Enumeration date
09/30/2006
Last updated
07/15/2010
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