Individual
EVDOXIA E KYRITSIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
25 N WINFIELD RD, WINFIELD, IL 60190-1295
(630) 933-4700
(630) 933-4427
Mailing address
25 N WINFIELD RD, WINFIELD, IL 60190-1295
(630) 933-4700
(630) 933-4427
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036130668
IL
208M00000X
Hospitalist Physician
Primary
036130668
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036130668
—
IL
01
—
206147
MEDICARE PTAN (GROUP)
IL
01
—
206147122
MEDICARE PTAN (INDIVIDUAL)
IL
01
—
P01144155
RAILROAD MEDICARE INDIVIDUAL PTAN
IL
Enumeration date
10/17/2008
Last updated
03/17/2018
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