Provider Demographics
NPI:1124038815
Name:ZOFAKIS, ARGIRO (MD)
Entity Type:Individual
Prefix:MRS
First Name:ARGIRO
Middle Name:
Last Name:ZOFAKIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ARGIRO
Other - Middle Name:
Other - Last Name:ZOFAKIS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:5783 N. LINCOLN
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60654
Mailing Address - Country:US
Mailing Address - Phone:847-729-0191
Mailing Address - Fax:847-729-4507
Practice Address - Street 1:5783 N. LINCOLN
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60654
Practice Address - Country:US
Practice Address - Phone:847-729-0191
Practice Address - Fax:847-729-4507
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2010-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-072287207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036072287Medicaid
316-02537-76OtherBC/BS
C-49420Medicare UPIN
IL036072287Medicaid