Provider Demographics
NPI:1568758696
Name:MARKOPOULOU, AIKATERINI (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:AIKATERINI
Middle Name:
Last Name:MARKOPOULOU
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:DR
Other - First Name:EKATERINI
Other - Middle Name:
Other - Last Name:MARKOPOULOU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD, PHD
Mailing Address - Street 1:2100 PFINGSTEN RD
Mailing Address - Street 2:
Mailing Address - City:GLENVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60026-1301
Mailing Address - Country:US
Mailing Address - Phone:847-657-5875
Mailing Address - Fax:847-657-5708
Practice Address - Street 1:2100 PFINGSTEN RD
Practice Address - Street 2:
Practice Address - City:GLENVIEW
Practice Address - State:IL
Practice Address - Zip Code:60026-1301
Practice Address - Country:US
Practice Address - Phone:847-657-5875
Practice Address - Fax:847-657-5708
Is Sole Proprietor?:No
Enumeration Date:2011-06-28
Last Update Date:2021-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE198902084N0400X
IL0361282382084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NEG73390Medicare UPIN