# ANGELLA CHARNOT-KATSIKAS, LTD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mediterranean Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982836680
- **Authorized official:** DR. ANGELLA CHARNOT-KATSIKAS M.D. (OWNER / MEDICAL DIRECTOR)
- **Authorized official phone:** (708) 691-4472

## Contact information

- **Practice address:** 11555 S HARLEM AVE, SUITE C, WORTH, IL 60482-2300
- **Practice address phone:** (708) 691-4472
- **Practice address fax:** (708) 671-1433
- **Mailing address:** 11555 S HARLEM AVE, SUITE C, WORTH, IL 60482-2300
- **Mailing address phone:** (708) 691-4472
- **Mailing address fax:** (708) 671-1433

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 036121904 | IL | Yes |

## Other

- **Enumeration date:** 08/13/2009
- **Last updated:** 08/13/2009