Individual
JOHN NICHOLAS KASIMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
20201 CRAWFORD AVE, ST JAMES HOSPITAL OLYMPIA FIELDS CAMPUS, OLYMPIA FIELDS, IL 60461-1010
(708) 747-4000
(708) 503-3242
Mailing address
113 E 4TH ST, MICHIGAN CITY, IN 46360-3301
(219) 873-3130
(219) 873-3132
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01630255
BC/BS
IL
Enumeration date
08/25/2005
Last updated
04/15/2008
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