Provider Demographics
NPI:1467605816
Name:VASSILIKI E. TOULIOS, M.D., LTD.
Entity Type:Organization
Organization Name:VASSILIKI E. TOULIOS, M.D., LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VASSILIKI
Authorized Official - Middle Name:E
Authorized Official - Last Name:TOULIOS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-530-7060
Mailing Address - Street 1:263 N YORK RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ELMHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60126-2758
Mailing Address - Country:US
Mailing Address - Phone:630-530-7060
Mailing Address - Fax:
Practice Address - Street 1:263 N YORK RD
Practice Address - Street 2:SUITE 200
Practice Address - City:ELMHURST
Practice Address - State:IL
Practice Address - Zip Code:60126-2758
Practice Address - Country:US
Practice Address - Phone:630-530-7060
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-29
Last Update Date:2008-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.046377261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036046377Medicaid
IL036046377Medicaid
ILC38264Medicare UPIN