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General NPI Number Information
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NPI Number | 1972657666
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Entity Type | Organization
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Legal Business Name | GEORGE SKARPATHIOTIS, M.D., S.C.
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 02/26/2015
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Provider Practice Location Address
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Address Line | 7110 W 127TH ST
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City | PALOS HEIGHTS
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State | IL
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Zip | 60463-1571
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Country | US
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Telephone | 708-923-6300
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Fax | 708-923-6303
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Provider Business Mailing Address
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Address Line | 7110 W 127TH ST
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City | PALOS HEIGHTS
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State | IL
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Zip | 60463-1571
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Country | US
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Telephone | 708-923-6300
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Fax | 708-923-6303
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. GEORGE I. SKARPATHIOTIS
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Credential | M.D.
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Telephone | 708-923-6300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 036-070269
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License Number State | IL
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