Dr. Theodore Polizos
Radiology Sports Medicine Foot Surgery Public Medicine and 2 more
2740 W Foster Ave Suite #205
Chicago
, Illinois 60625-3500
Dr. Theodore Polizos
Radiology Sports Medicine Foot Surgery Public Medicine and 2 more
2740 W Foster Ave Suite #205
Chicago
, Illinois 60625-3500
(773) 271-9051
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About
Features
Specialties
- Public Medicine
- Primary Podiatric Medicine
- Radiology
- Sports Medicine
- Foot & Ankle Surgery
- Foot Surgery
Languages spoken
- English
Location
First Address
- Dr. Theodore Polizos
- Po Box 95727
- Hoffman Estates, IL
- Zip : 60195-0727
- Fax : (773) 271-9051
- Phone : (773) 271-9050
Second Address
- Dr. Theodore Polizos
- 2740 W Foster Ave Suite #205
- Chicago, IL
- Zip : 60625-3500
- Fax : (773) 271-9051
- Phone : (773) 271-9050
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 213EP0504X | Public Medicine | 016004322 | IL |
| N | 213EP1101X | Primary Podiatric Medicine | 016004322 | IL |
| N | 111NR0200X | Radiology | 016004322 | IL |
| N | 213ER0200X | Radiology | 016004322 | IL |
| N | 2081S0010X | Sports Medicine | 016004322 | IL |
| N | 213ES0000X | Sports Medicine | 016004322 | IL |
| Y | 213ES0103X | Foot & Ankle Surgery | 016004322 | IL |
| N | 213ES0131X | Foot Surgery | 016004322 | IL |
National Provider Identifier
| NPI | 1811080138 |
|---|---|
| Provider Name | Dr. Theodore Polizos |
| First Address | Hoffman Estates, IL 60195-0727 |
| Second Address | Chicago, IL 60625-3500 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/09/2006 |
| Last Update Date | 15/07/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 016004322 | (05) | IL |
| 01608070 | BCBS (01) | IL |
| 480028904 | RRM (01) | IL |
| U05486 | (02) | IL |
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.