Athena Kostidis in Maywood - Clinical Neurophysiology
Athena Kostidis - NPI 1386624575
Athena Kostidis is a Clinical Neurophysiology in Maywood, Illinois. Athena Kostidis practices all healthcare services and medical treatments related to Clinical Neurophysiology. The NPI Number for Athena Kostidis is 1386624575. The last update date is 2009-10-13.
Athena Kostidis's current location address is 2160 S 1st Ave, Maywood, Illinois. You can contact this provider via phone number 6306277399 and fax number 6306277079. The mailing address for Athena Kostidis is 2160 S 1st Ave, Maywood, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Athena Kostidis |
|---|---|
| Address | 2160 S 1st Ave, Maywood, Illinois |
| Phone Number | 6306277399 |
| Fax Number | 6306277079 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1386624575 |
|---|---|
| Provider Enumeration Date | 2006-01-23 |
| Last Updated Date | 2009-10-13 |
Provider Mailing Address Detail
| Address | 2160 S 1st Ave |
|---|---|
| City | Maywood |
| State | Illinois (IL) |
| Post Code | 60153 |
| Phone Number | 6306277399 |
| Fax Number | 6306277079 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neurophysiology |
|---|---|
| Taxonomy | 2084N0600X |
| Licence No | 36113445 |
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Definition: Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36113445 | IL | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Athena Kostidis by the Centers for Medicare & Medicaid Services?
The Athena Kostidis has been issued the NPI (National Provider Identifier) 1386624575. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Athena Kostidis is located?
The Athena Kostidis is situated at the following address: 2160 S 1St Ave, Maywood, IL, 60153.
What is Athena Kostidis's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Athena Kostidis is Clinical Neurophysiology, and the corresponding taxonomy classification code for this specialized field is 2084N0600X.
On what date did the Centers for Medicare & Medicaid Services issue the 1386624575 to Athena Kostidis?
The Athena Kostidis received its 1386624575 assignment from the Centers for Medicare & Medicaid Services on 2006-01-23.
As of what date were the Athena Kostidis's details last updated?
The information pertaining to the Athena Kostidis, including its address, specialty, and other details, was most recently updated on 2009-10-13.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY