Individual
DR. CONSTANTINE GODELLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2160 S 1ST AVE, DEPARTMENT OF SURGERY, BLDG. 110, MAYWOOD, IL 60153-3328
(708) 327-3430
(708) 327-3565
Mailing address
2160 S 1ST AVE, DEPARTMENT OF SURGERY, BLDG. 110, MAYWOOD, IL 60153-3328
(708) 327-3430
(708) 327-3565
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036093866
IL
2086X0206X
Surgical Oncology Physician
036093866
IL
Other
Enumeration date
01/31/2006
Last updated
02/05/2025
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