Provider Demographics
NPI:1417996257
Name:ABARIOTIS, NICOLAOS G (MD)
Entity Type:Individual
Prefix:DR
First Name:NICOLAOS
Middle Name:G
Last Name:ABARIOTIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:5600 W ADDISON
Mailing Address - Street 2:STE 400
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60634
Mailing Address - Country:US
Mailing Address - Phone:773-283-2448
Mailing Address - Fax:773-283-0205
Practice Address - Street 1:7447 W TALCOTT
Practice Address - Street 2:STE 525
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60631
Practice Address - Country:US
Practice Address - Phone:773-775-6500
Practice Address - Fax:773-775-3471
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2014-12-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036085341207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036085341Medicaid
G23735Medicare UPIN
IL036085341Medicaid