Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Dimitrios T. Mougolias, MD

Individual provider Emergency Medicine Physician · NPI 1053520700

Dr. Dimitrios T. Mougolias, MD is an Emergency Medicine in Libertyville, Illinois. Qualified in 2004, 22 years ago. Practices with Emergency Medicine Services of Tn, PC, a 143-clinician group and accepts Medicare assignment. Licensed in Illinois and Wisconsin.

Years since qualifying
22
Licensed in
IL, WI
In the registry since
2007
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

801 S Milwaukee Ave
Libertyville, IL 60048-3204
Phone: (847) 990-2075
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 036118251 (IL)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 53098-20 (WI)
Emergency Medical Services (Emergency Medicine) Physician Taxonomy 207PE0004X · Licence 036118251 (IL)

Record details

NPI number1053520700
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 21, 2007
Last updated in NPPESFebruary 12, 2024
Certification dateFebruary 12, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Emergency Medicine Services Of Tn, Pc — 143 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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