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NPI Code Detail

MEDICARE: PETER JOHN PSIHOS DO

MEDICARE: PETER JOHN PSIHOS DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RP1001XPulmonary Disease PhysicianPENDINGTX
2207RC0200XCritical Care Medicine (Internal Medicine) Physician036149054IL
3207RC0200XCritical Care Medicine (Internal Medicine) PhysicianPENDINGTX

General Provider Information

NPI Number : 1225392368
Entity Type Code : Individual
Provider Name (Legal Business Name) : PETER JOHN PSIHOS DO
Provider Business Mailing Address
First Line : 800 W. CENTRAL RD.
Second Line : ICU DEPARTMENT
City : ARLINGTON HEIGHTS
State : IL
Zip : 60005-2349
Country : US
Telephone Number : 847-618-7301
Fax Number : 847-618-7319
Provider Business Practice Location Address
First Line : 800 W. CENTRAL RD.
Second Line : ICU DEPARTMENT
City : ARLINGTON HEIGHTS
State : IL
Zip : 60005-2349
Country : US
Telephone Number : 847-618-7301
Fax Number : 847-618-7319
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2012
Last Update Date : 01/05/2026

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