Dr. Dimitrios T. Mougolias
Emergency Medical Services
801 S Milwaukee Ave
Libertyville
, Illinois 60048-3204
Dr. Dimitrios T. Mougolias
Emergency Medical Services
801 S Milwaukee Ave
Libertyville
, Illinois 60048-3204
(708) 870-8289
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About
Features
Specialties
- Emergency Medical Services
Languages spoken
- English
Location
First Address
- Dr. Dimitrios T. Mougolias
- 181 W Olive St
- Elmhurst, IL
- Zip : 60126-3909
- Phone : (708) 870-8289
Second Address
- Dr. Dimitrios T. Mougolias
- 801 S Milwaukee Ave
- Libertyville, IL
- Zip : 60048-3204
- Phone : (847) 990-2075
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207PE0004X | Emergency Medical Services | 036118251 | IL |
National Provider Identifier
| NPI | 1053520700 |
|---|---|
| Provider Name | Dr. Dimitrios T. Mougolias |
| First Address | Elmhurst, IL 60126-3909 |
| Second Address | Libertyville, IL 60048-3204 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/05/2007 |
| Last Update Date | 20/12/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.