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NPI Code Detail

MEDICARE: DR. MARIA J DOUROS DO

MEDICARE: DR. MARIA J DOUROS 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
1207Q00000XFamily Medicine Physician036112744IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1700873106
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARIA J DOUROS DO
Provider Business Mailing Address
First Line : PO BOX 713260
Second Line :
City : CHICAGO
State : IL
Zip : 60677-1260
Country : US
Telephone Number : 630-469-9200
Fax Number :
Provider Business Practice Location Address
First Line : 801 N CASS AVE STE 300
Second Line :
City : WESTMONT
State : IL
Zip : 60559-1193
Country : US
Telephone Number : 630-348-3840
Fax Number : 630-963-6239
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2005
Last Update Date : 08/29/2023

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Directions to “ DR. MARIA J DOUROS DO” Practice Location

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