Angella Charnot-Katsikas, Ltd
Clinic/Center in Worth, IL. Organization (NPI-2).
NPI number1982836680
StatusActive
Last updated in NPPESAug 13, 2009
Details
- NPI
- 1982836680
- Entity type
- Organization (NPI-2)
- Legal business name
- Angella Charnot-Katsikas, Ltd
- Organization subpart
- No
- Enumeration date
- Aug 13, 2009
- Last updated
- Aug 13, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | 036121904 | IL | Yes |
Other names
- Mediterranean Medicine (Doing Business As)
Practice location
11555 S Harlem AveSuite C
Worth, IL 60482-2300
Phone 708-691-4472 · Fax 708-671-1433
Mailing address
11555 S Harlem AveSuite C
Worth, IL 60482-2300
Phone 708-691-4472 · Fax 708-671-1433
Authorized official
Angella Charnot-Katsikas
Owner / Medical Director
7086914472
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