| Nicholas E Poulos, MD | |
|
340 W Lincoln St, Suite 540, Belleville, IL 62220-1900 | |
| (618) 222-1341 | |
| (618) 222-1487 |
| Full Name | Nicholas E Poulos |
|---|---|
| Gender | Male |
| Speciality | Neurological Surgery |
| Location | 340 W Lincoln St, Belleville, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144258310 | NPI | - | NPPES |
| 036115133 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | 036115133 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas E Poulos, MD 340 W Lincoln St, Suite 540, Belleville, IL 62220-1900 Ph: (618) 222-1341 | Nicholas E Poulos, MD 340 W Lincoln St, Suite 540, Belleville, IL 62220-1900 Ph: (618) 222-1341 |
Christopher Dabney Heffner, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 4700 Memorial Dr, Ste 200, Belleville, IL 62226 Phone: 618-222-9192 Fax: 618-222-9234 | |
Dr. Bradley Joseph Budde, MD Neurological Surgery Medicare: Medicare Enrolled Practice Location: 4700 Memorial Dr, Div Wupi Neurosurgery, Ste 230, Belleville, IL 62226 Phone: 618-212-6620 Fax: 618-212-6621 |