Provider Demographics
NPI:1760776090
Name:LIVAK, CHRISTINA GEORGOPOULOS (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:GEORGOPOULOS
Last Name:LIVAK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:134 ARTHUR AVE
Mailing Address - Street 2:
Mailing Address - City:CLARENDON HLS
Mailing Address - State:IL
Mailing Address - Zip Code:60514-1108
Mailing Address - Country:US
Mailing Address - Phone:630-632-7608
Mailing Address - Fax:
Practice Address - Street 1:3815 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:DOWNERS GROVE
Practice Address - State:IL
Practice Address - Zip Code:60515-1500
Practice Address - Country:US
Practice Address - Phone:630-275-5900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-03
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125059232207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine