Provider Demographics
NPI:1760183891
Name:KARAKAS, VIOLA E (CPM, LM)
Entity Type:Individual
Prefix:
First Name:VIOLA
Middle Name:E
Last Name:KARAKAS
Suffix:
Gender:F
Credentials:CPM, LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 E PERSHING ST
Mailing Address - Street 2:
Mailing Address - City:FREEPORT
Mailing Address - State:IL
Mailing Address - Zip Code:61032-6541
Mailing Address - Country:US
Mailing Address - Phone:815-291-3999
Mailing Address - Fax:
Practice Address - Street 1:25 E PERSHING ST
Practice Address - Street 2:
Practice Address - City:FREEPORT
Practice Address - State:IL
Practice Address - Zip Code:61032-6541
Practice Address - Country:US
Practice Address - Phone:815-291-3999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-15
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI511-49176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife