Provider Demographics
NPI:1710390091
Name:ABSOLUTE HOME PHYSICIANS PC
Entity Type:Organization
Organization Name:ABSOLUTE HOME PHYSICIANS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DEMETRIOS
Authorized Official - Middle Name:J
Authorized Official - Last Name:GIOKARIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-963-8101
Mailing Address - Street 1:1166 E DUNDEE RD
Mailing Address - Street 2:
Mailing Address - City:PALATINE
Mailing Address - State:IL
Mailing Address - Zip Code:60074-8305
Mailing Address - Country:US
Mailing Address - Phone:847-963-8101
Mailing Address - Fax:847-963-8120
Practice Address - Street 1:1166 E DUNDEE RD
Practice Address - Street 2:
Practice Address - City:PALATINE
Practice Address - State:IL
Practice Address - Zip Code:60074-8305
Practice Address - Country:US
Practice Address - Phone:847-963-8101
Practice Address - Fax:847-963-8120
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-04
Last Update Date:2014-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036066354207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL36066354Medicaid
IL36066354Medicaid