THEODORE POLIZOS, DPM, Surgery, Foot & Ankle CHICAGO, IL

Contact Information

THEODORE POLIZOS, DPM

2740 W FOSTER AVE
SUITE #205
CHICAGO, IL 60625-3500

Phone: 773-271-9050
Fax: 773-271-9051
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Surgery, Foot & Ankle	213ES0103X	48	Podiatry
Primary Podiatric Medicine	213EP1101X	48	Podiatry
Public Health	213EP0504X	48	Podiatry
Radiology	213ER0200X	48	Podiatry
Sports Medicine	213ES0000X	48	Podiatry
Surgery, Foot	213ES0131X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for THEODORE POLIZOS · (Male)

NPI #	`1811080138`
Status	Active
Credentials	DPM (Doctor of Podiatric Medicine)
Entity	Individual
Enumeration date	09/30/2006
Last updated	07/15/2010 - About 16 years ago
Sole proprietor ¹	Yes
Identifiers	IL License # 016004322 IL Medicaid 016004322 IL Other 01608070 BCBS IL Other 480028904 RRM
Hospital affiliation(s)	EVANSTON HOSPITAL - (Acute Care) 2650 RIDGE AVE EVANSTON, IL 60201 SWEDISH COVENANT HOSPITAL - (Acute Care) 5145 N CALIFORNIA AVE CHICAGO, IL 60625

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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