Individual
GEORGIOS KARANASTASIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12800 S RIDGELAND AVE STE E, PALOS HEIGHTS, IL 60463-2391
(708) 429-3700
(708) 429-4460
Mailing address
12800 S RIDGELAND AVE STE E, PALOS HEIGHTS, IL 60463-2391
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036122134
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036122134
ILLINOIS STATE LICENSE
IL
Enumeration date
01/08/2009
Last updated
12/27/2021
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