Individual
DR. EFTHYMIA P PAPANASTASSIOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7400 W ADDISON ST, CHICAGO, IL 60634-3418
(773) 625-1900
(773) 625-5348
Mailing address
7400 W ADDISON ST, CHICAGO, IL 60634-3418
(773) 625-1900
(773) 625-5348
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036091182
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080108322
RAILROAD MEDICARE
—
Enumeration date
02/02/2006
Last updated
11/26/2007
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