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NPI Code Detail

MEDICARE: DR. GEORGE SMYRNIOTIS M.D.

MEDICARE:  DR. GEORGE  SMYRNIOTIS  M.D.
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
1207Y00000XOtolaryngology Physician036-097604IL

General Provider Information

NPI Number : 1548266067
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GEORGE SMYRNIOTIS M.D.
Provider Business Mailing Address
First Line : 5999 NEW WILKE RD BLDG 1
Second Line :
City : ROLLING MEADOWS
State : IL
Zip : 60008-4506
Country : US
Telephone Number : 847-259-2530
Fax Number : 847-259-4930
Provider Business Practice Location Address
First Line : 5999 NEW WILKE RD BLDG 1
Second Line :
City : ROLLING MEADOWS
State : IL
Zip : 60008-4506
Country : US
Telephone Number : 847-259-2530
Fax Number : 847-259-4930
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2005
Last Update Date : 11/17/2022

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Directions to “ DR. GEORGE SMYRNIOTIS M.D.” Practice Location

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