Individual
DR. GEORGE LOUIS TRILIKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-2000
Mailing address
111 OAKWOOD RD, EAST PEORIA, IL 61611-1853
(309) 740-4272
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01063253A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000618108
ANTHEM BCBS
IN
05
—
200946200
—
IN
01
—
P00742623
RAILROAD MEDICARE
IN
Enumeration date
07/09/2008
Last updated
10/23/2023
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