Individual
CONSTANTINE NICOLOZAKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
355 E ERIE ST, CHICAGO, IL 60611-3167
(312) 238-1000
Mailing address
355 E ERIE ST, CHICAGO, IL 60611-3167
(312) 238-2870
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.081290
IL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
125.081290
IL
Other
Enumeration date
11/18/2015
Last updated
08/16/2024
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