Individual
MARINOS KONTZIALIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
676 N SAINT CLAIR ST STE 1400, CHICAGO, IL 60611-2951
(312) 695-1292
(312) 695-3999
Mailing address
676 N SAINT CLAIR ST STE 1400, CHICAGO, IL 60611-2951
(312) 695-1292
(312) 695-3999
Taxonomy
Speciality
Code
Description
License number
State
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
Primary
036138788
IL
2085N0700X
Neuroradiology Physician
036-138788
IL
2085R0202X
Diagnostic Radiology Physician
036-138788
IL
Other
Enumeration date
08/18/2008
Last updated
09/24/2020
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