Individual
ANNA KULIK-CARLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4753 N ELSTON AVE, CHICAGO, IL 60630-4002
(773) 205-7200
(773) 481-7577
Mailing address
5019 N MOZART ST, ATTN: SOULTANA AMAXOPOULOS, CHICAGO, IL 60625-3615
(773) 293-3223
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036128604
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036128604
—
IL
Enumeration date
07/08/2008
Last updated
10/30/2020
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