Organization
JOHN N KIRIKLAKIS, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN NICHOLAS KIRIKLAKIS (PRESIDENT)
(708) 345-2035
Entity
Organization
Contact information
Practice address
1111 SUPERIOR ST, SUITE 408, MELROSE PARK, IL 60160-4138
(708) 345-2035
(708) 345-2040
Mailing address
1111 SUPERIOR ST, SUITE 408, MELROSE PARK, IL 60160-4138
(708) 345-2035
(708) 345-2040
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036100938
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01632337
BLUE CROSS
IL
05
—
036100938
—
IL
01
—
110238628
RAILROAD
IL
Enumeration date
10/04/2007
Last updated
10/04/2007
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