Individual
CONSTANTINE DEAN KATSAMAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1000 HEALTH CENTER DR, MATTOON, IL 61938-4644
(217) 238-4960
(217) 238-4951
Mailing address
1005 HEALTH CENTER DR STE 201, MATTOON, IL 61938-4653
(217) 342-3400
(217) 258-2216
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036107954
IL
207RI0011X
Interventional Cardiology Physician
036107954
IL
Other
Enumeration date
01/12/2007
Last updated
05/06/2020
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