Provider Demographics
NPI:1386639342
Name:PLIOPLYS, AUDRIUS V (MD)
Entity Type:Individual
Prefix:
First Name:AUDRIUS
Middle Name:V
Last Name:PLIOPLYS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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
Is Sole Proprietor?:No
Enumeration Date:2005-09-15
Last Update Date:2008-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL2232936OtherBCBS PROVIDER ID
ILE31010Medicare UPIN
ILK08820Medicare PIN
ILK08819Medicare PIN
ILK08818Medicare PIN