Provider Demographics
NPI:1124039557
Name:AUDRIUS V. PLIOPLYS, M.D., S.C.
Entity Type:Organization
Organization Name:AUDRIUS V. PLIOPLYS, M.D., S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AUDRIUS
Authorized Official - Middle Name:V
Authorized Official - Last Name:PLIOPLYS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:708-445-5060
Mailing Address - Street 1:777 OAKMONT LN
Mailing Address - Street 2:SUITE 1600
Mailing Address - City:WESTMONT
Mailing Address - State:IL
Mailing Address - Zip Code:60559-5511
Mailing Address - Country:US
Mailing Address - Phone:630-789-2550
Mailing Address - Fax:
Practice Address - Street 1:8844 S PLEASANT AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60620-5441
Practice Address - Country:US
Practice Address - Phone:708-445-5060
Practice Address - Fax:773-445-0123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-10
Last Update Date:2008-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child NeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL2232936OtherBCBS PROVIDER ID
IL209346Medicare PIN
IL2232936OtherBCBS PROVIDER ID
IL209348Medicare PIN