Provider Demographics
NPI:1013995232
Name:BAKOS, IRENE M (MD)
Entity Type:Individual
Prefix:DR
First Name:IRENE
Middle Name:M
Last Name:BAKOS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:7740 W NORTH AVE
Mailing Address - Street 2:
Mailing Address - City:ELMWOOD PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60707-4116
Mailing Address - Country:US
Mailing Address - Phone:708-450-0500
Mailing Address - Fax:708-450-1070
Practice Address - Street 1:7740 W NORTH AVE
Practice Address - Street 2:
Practice Address - City:ELMWOOD PARK
Practice Address - State:IL
Practice Address - Zip Code:60707-4116
Practice Address - Country:US
Practice Address - Phone:708-450-0500
Practice Address - Fax:708-450-1070
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-06
Last Update Date:2019-12-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL036062531207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology