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NPI 1366029894

NPI 1366029894 : LOUIS TSICHLIS DO : HINSDALE, IL

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General NPI Number Information
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    NPI Number           |    1366029894
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    Entity Type          |    Individual 
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    Provider Name        |    LOUIS TSICHLIS DO
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/29/2021
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    Last Update Date     |    12/11/2025
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Provider Practice Location Address
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    Address Line         |    120 N OAK ST 
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    City                 |    HINSDALE
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    State                |    IL
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    Zip                  |    60521-3829
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    Country              |    US
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    Telephone            |    630-856-9000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    387 SHUMAN BLVD 
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    City                 |    NAPERVILLE
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    State                |    IL
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    Zip                  |    60563-8450
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    Country              |    US
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    Telephone            |    800-242-1131
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207L00000X
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    Taxonomy Name        |    Anesthesiology Physician
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    License Number       |    036176824
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    License Number State |    IL
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Taxonomy #2
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    SC
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