SearchIllinois111N00000X

Theodoros Mikroulis, D.C

NPI 1316997554 · on the registry since 2006 · sole proprietor

Practice

Address
3840 Harlem Ave
Lyons, IL 60534
Phone
(708) 442-3050
Fax
(708) 442-3058
Organisation at this address
Advanced Physical Medicine Associates, Sc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
111N00000X
111N00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-07-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois