Individual
ZAKARIAH MIKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
759 45TH ST STE 101, MUNSTER, IN 46321-2939
(219) 922-6226
Mailing address
30 E HURON ST APT 4606, CHICAGO, IL 60611-4725
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18004672A
IL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/19/2025
Last updated
06/05/2026
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