Provider Demographics
NPI:1881367407
Name:GKARTZONIKA, GALINI VASILIKI
Entity type:Individual
Prefix:
First Name:GALINI
Middle Name:VASILIKI
Last Name:GKARTZONIKA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2050 VALENCIA DR APT 211
Mailing Address - Street 2:
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062-7056
Mailing Address - Country:US
Mailing Address - Phone:773-679-0881
Mailing Address - Fax:
Practice Address - Street 1:3046 W ARMITAGE AVE APT 1
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60647-5935
Practice Address - Country:US
Practice Address - Phone:872-216-2139
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-29
Last Update Date:2021-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health