Provider Demographics
NPI:1407093537
Name:ASIMIS, GEORGIOS NIKOLAOS (MD)
Entity Type:Individual
Prefix:DR
First Name:GEORGIOS
Middle Name:NIKOLAOS
Last Name:ASIMIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:805 W RANDOLPH ST APT 202
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60607-2333
Mailing Address - Country:US
Mailing Address - Phone:312-526-3500
Mailing Address - Fax:312-291-9126
Practice Address - Street 1:805 W RANDOLPH ST APT 202
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60607-2333
Practice Address - Country:US
Practice Address - Phone:312-526-3500
Practice Address - Fax:312-291-9126
Is Sole Proprietor?:No
Enumeration Date:2009-01-12
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL830158202D00000X
IL0361359272084A0401X, 2084P0802X, 2084P0800X, 2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No202D00000XAllopathic & Osteopathic PhysiciansIntegrative Medicine
No2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Medicine
No2084P0802XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Psychiatry
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology