Provider Demographics
NPI:1235479593
Name:TRINKUNS, ANTONINA SKAPARS (MD)
Entity Type:Individual
Prefix:MRS
First Name:ANTONINA
Middle Name:SKAPARS
Last Name:TRINKUNS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ANTONINA
Other - Middle Name:LIDIJA
Other - Last Name:SKAPARS, M.D.
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:6404 N. TAHOMA AVE.
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60646
Mailing Address - Country:US
Mailing Address - Phone:773-631-0298
Mailing Address - Fax:
Practice Address - Street 1:6404 N. TAHOMA AVE.
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60646
Practice Address - Country:US
Practice Address - Phone:773-631-0298
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-25
Last Update Date:2013-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.0369472084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry