Dorothea Poulos MD

NPI 1003804519 - Family Medicine - 207Q00000X

NPI Details
NPI 1003804519
Gender Female
Enumeration Date 10/10/2005
Last Updated 10/24/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
901 CENTER ST
STE 3000
ELGIN IL, 60120-2104, US
Phone (847) 888-3661
Fax (847) 888-9964
Business Location
901 CENTER ST
STE 3000
ELGIN IL, 60120-2104, US
Phone (847) 888-3661
Fax (847) 888-9964
Toxanomy
Taxonomy Code 207Q00000X
License State Illinois
License Number 036-066780
Remove 1003804519 NPI Number
 

According to our database, Dorothea Poulos MD NPI is 1003804519, taxonomy code is 207Q00000X and license number is 036-066780, license state is located at Illinois. Dorothea Poulos MD physically located at 901 Center St, Elgin IL, 60120-2104. NPI Number Dorothea Poulos MD has the Individual type.

Sponsored links

1003804519 NPI number is provided on an as is basis without warranty of any kind. 1003804519 is maintained by the National Plan & Provider Enumeration System. The contents of Dorothea Poulos MD are for informational purposes only.