MEDICARE: DIMITRIOS A PLIAGOS

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
1	183500000X	Pharmacist	051-288421	IL

General Provider Information

NPI Number	:	1962737411
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIMITRIOS A PLIAGOS

Provider Business Mailing Address
First Line	:	11333 S AVENUE L
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60617-7016
Country	:	US
Telephone Number	:	773-768-3172
Fax Number	:

Provider Business Practice Location Address
First Line	:	11333 S AVENUE L
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60617-7016
Country	:	US
Telephone Number	:	773-768-3172
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/15/2009
Last Update Date	:	01/18/2026

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Directions to “ DIMITRIOS A PLIAGOS ” Practice Location

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